Provider Demographics
NPI:1033377965
Name:KIRAN, ANEETA RAMAKRISHNA (MD)
Entity Type:Individual
Prefix:DR
First Name:ANEETA
Middle Name:RAMAKRISHNA
Last Name:KIRAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:11339 MOUNTAIN VIEW DR
Mailing Address - Street 2:APT 59
Mailing Address - City:RANCHO CUCAMONGA
Mailing Address - State:CA
Mailing Address - Zip Code:91730-8222
Mailing Address - Country:US
Mailing Address - Phone:909-477-6710
Mailing Address - Fax:
Practice Address - Street 1:25828 REDLANDS BLVD
Practice Address - Street 2:KAISER PERMANENTE
Practice Address - City:REDLANDS
Practice Address - State:CA
Practice Address - Zip Code:92373-8449
Practice Address - Country:US
Practice Address - Phone:909-427-5000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-05-28
Last Update Date:2021-11-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA96783207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine