Basic Information
| Provider Information | |||||||||
| NPI: | 1093240897 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | ANAND | ||||||||
| FirstName: | KEERTHANA | ||||||||
| MiddleName: | |||||||||
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| Credential: | M.D, M.B.B.S., M.S. | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 844658 | ||||||||
| Address2: | |||||||||
| City: | DALLAS | ||||||||
| State: | TX | ||||||||
| PostalCode: | 752844658 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2547242111 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 1701 E PFLUGERVILLE PKWY | ||||||||
| Address2: | |||||||||
| City: | PFLUGERVILLE | ||||||||
| State: | TX | ||||||||
| PostalCode: | 786608990 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5122596000 | ||||||||
| FaxNumber: | 5122606005 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/29/2017 | ||||||||
| LastUpdateDate: | 10/18/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 10/18/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | 36931 | OK | N | Allopathic & Osteopathic Physicians | Family Medicine | 207Q00000X | S7167 | TX | Y | Allopathic & Osteopathic Physicians | Family Medicine |
No ID Information.