Provider Demographics
NPI:1467682245
Name:ANIA, ROLANDO (MD, FAAN)
Entity Type:Individual
Prefix:DR
First Name:ROLANDO
Middle Name:
Last Name:ANIA
Suffix:
Gender:M
Credentials:MD, FAAN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 10950
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89510-0950
Mailing Address - Country:US
Mailing Address - Phone:775-251-3917
Mailing Address - Fax:775-251-3918
Practice Address - Street 1:9790 GATEWAY DR STE 220
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89521-8923
Practice Address - Country:US
Practice Address - Phone:775-251-3917
Practice Address - Fax:775-251-3918
Is Sole Proprietor?:No
Enumeration Date:2009-07-15
Last Update Date:2023-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD606051552084N0400X
FLME1055962084N0400X
CAC1500642084N0400X
NV163342084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology