Provider Demographics
NPI:1275599136
Name:ANAND, CHAITANYA (MD)
Entity Type:Individual
Prefix:
First Name:CHAITANYA
Middle Name:
Last Name:ANAND
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4872 STEEPLECHASE WAY
Mailing Address - Street 2:
Mailing Address - City:EAGAN
Mailing Address - State:MN
Mailing Address - Zip Code:55122-2978
Mailing Address - Country:US
Mailing Address - Phone:651-484-6923
Mailing Address - Fax:651-340-5421
Practice Address - Street 1:1 VETERANS DR
Practice Address - Street 2:VETERAN AFFAIR MEDICAL CENTER
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55417-2309
Practice Address - Country:US
Practice Address - Phone:612-725-2000
Practice Address - Fax:612-467-3783
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-20
Last Update Date:2022-10-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MN45908207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
H87333Medicare UPIN