Provider Demographics
NPI:1477735512
Name:ANIL NANDA, M.D., P.A.
Entity Type:Organization
Organization Name:ANIL NANDA, M.D., P.A.
Other - Org Name:ASTHMA AND ALLERGY CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ANIL
Authorized Official - Middle Name:
Authorized Official - Last Name:NANDA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:972-221-9162
Mailing Address - Street 1:724 W MAIN ST STE 160
Mailing Address - Street 2:
Mailing Address - City:LEWISVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:75067-3583
Mailing Address - Country:US
Mailing Address - Phone:972-221-9162
Mailing Address - Fax:972-221-9753
Practice Address - Street 1:724 W MAIN ST STE 160
Practice Address - Street 2:
Practice Address - City:LEWISVILLE
Practice Address - State:TX
Practice Address - Zip Code:75067-3583
Practice Address - Country:US
Practice Address - Phone:972-221-9162
Practice Address - Fax:972-221-9753
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-30
Last Update Date:2007-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL8448207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8B9370Medicare PIN