Basic Information
| Provider Information | |||||||||
| NPI: | 1699743997 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | ANAND | ||||||||
| FirstName: | SURESH | ||||||||
| MiddleName: | C | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1006 E GUADALUPE RD | ||||||||
| Address2: | |||||||||
| City: | TEMPE | ||||||||
| State: | AZ | ||||||||
| PostalCode: | 852833047 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4808384296 | ||||||||
| FaxNumber: | 4808201275 | ||||||||
| Practice Location | |||||||||
| Address1: | 1006 E GUADALUPE RD | ||||||||
| Address2: | |||||||||
| City: | TEMPE | ||||||||
| State: | AZ | ||||||||
| PostalCode: | 852833047 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4808384296 | ||||||||
| FaxNumber: | 4808201275 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/10/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207K00000X | 5288 | AZ | Y | Allopathic & Osteopathic Physicians | Allergy & Immunology |
No ID Information.