Basic Information
Provider Information
NPI: 1144425034
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ANAND
FirstName: RAHUL
MiddleName: JAGDISH
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 91734
Address2:  
City: RICHMOND
State: VA
PostalCode: 232911734
CountryCode: US
TelephoneNumber: 8043586100
FaxNumber: 8043427619
Practice Location
Address1: 1250 E MARSHALL ST
Address2:  
City: RICHMOND
State: VA
PostalCode: 232985051
CountryCode: US
TelephoneNumber: 8048271207
FaxNumber: 8048270701
Other Information
ProviderEnumerationDate: 06/19/2007
LastUpdateDate: 09/08/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 09/08/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2086S0102X0101247417VAN Allopathic & Osteopathic PhysiciansSurgerySurgical Critical Care
2086S0127X0101247417VAN Allopathic & Osteopathic PhysiciansSurgeryTrauma Surgery
208600000X0101247417VAY Allopathic & Osteopathic PhysiciansSurgery 

No ID Information.


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