Provider Demographics
NPI:1407297005
Name:ANAND, AMAR (MD)
Entity Type:Individual
Prefix:DR
First Name:AMAR
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 1:712 BANCROFT RD STE 905
Mailing Address - Street 2:
Mailing Address - City:WALNUT CREEK
Mailing Address - State:CA
Mailing Address - Zip Code:94598-1531
Mailing Address - Country:US
Mailing Address - Phone:707-980-6257
Mailing Address - Fax:707-980-6692
Practice Address - Street 1:155 GLEN COVE MARINA RD E
Practice Address - Street 2:
Practice Address - City:VALLEJO
Practice Address - State:CA
Practice Address - Zip Code:94591-7284
Practice Address - Country:US
Practice Address - Phone:707-980-6257
Practice Address - Fax:707-980-6692
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-11
Last Update Date:2020-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01080969A103TB0200X, 2084N0400X
CAA1498572084D0003X, 2084P2900X, 2084N0400X
SCLL360952084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
No103TB0200XBehavioral Health & Social Service ProvidersPsychologistCognitive & Behavioral
No2084D0003XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyDiagnostic Neuroimaging
No2084P2900XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPain Medicine