Annaliesa Fanguy, MD
Annaliesa Fanguy, MD is a Family Practice in Mishawaka, Indiana. Graduated from Louisiana State University School of Medicine in Shreveport in 2025, 1 year ago. Practices as a sole proprietor. Licensed in Louisiana.
- Years since qualifying
- 1
- Trained at
- Louisiana State University School of Medicine in Shreveport
- Licensed in
- LA
- In the registry since
- 2025
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
Mishawaka, INNo coordinates on file. Search this address in Google Maps
Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X · Licence 348260 (LA) |
|---|
Record details
| NPI number | 1760365530 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | MD |
| Sole proprietor | Yes |
| NPI enumerated | July 29, 2025 |
| Last updated in NPPES | June 2, 2026 |
| Certification date | June 2, 2026 |
Medicare enrollment
| Medicare specialty | FAMILY PRACTICE |
|---|---|
| Medical school | LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN SHREVEPORT |
| Graduated | 2025 (1 years in practice) |
| Accepts Medicare assignment | Not indicated |
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