Provider Demographics
NPI:1487657680
Name:ANANDU, DARSHAN P (MD)
Entity Type:Individual
Prefix:
First Name:DARSHAN
Middle Name:P
Last Name:ANANDU
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1900 NORTH LOOP W STE 390
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77018-8148
Mailing Address - Country:US
Mailing Address - Phone:832-708-2686
Mailing Address - Fax:713-694-6066
Practice Address - Street 1:1140 WESTMONT DR STE 350
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77015-4368
Practice Address - Country:US
Practice Address - Phone:713-450-3333
Practice Address - Fax:713-694-6066
Is Sole Proprietor?:No
Enumeration Date:2005-05-23
Last Update Date:2017-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH7867207R00000X, 207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1344319-02Medicaid
TX134431908Medicaid
TX81W723Medicare ID - Type Unspecified
TX1344319-02Medicaid