Provider Demographics
NPI:1508029778
Name:VINOD K ANAND
Entity Type:Organization
Organization Name:VINOD K ANAND
Other - Org Name:NOSE & SINUS CLINIC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:NURSE PRACTITIONER
Authorized Official - Prefix:MRS
Authorized Official - First Name:HELEN
Authorized Official - Middle Name:MOSS
Authorized Official - Last Name:MARSHALL
Authorized Official - Suffix:
Authorized Official - Credentials:FNP
Authorized Official - Phone:601-969-1910
Mailing Address - Street 1:PO BOX 1000
Mailing Address - Street 2:501 MARSHALL STREET SUITE 602
Mailing Address - City:JACKSON
Mailing Address - State:MS
Mailing Address - Zip Code:39215
Mailing Address - Country:US
Mailing Address - Phone:601-969-1910
Mailing Address - Fax:601-969-1913
Practice Address - Street 1:501 MARSHALL STREET
Practice Address - Street 2:SUITE 602
Practice Address - City:JACKSON
Practice Address - State:MS
Practice Address - Zip Code:39202
Practice Address - Country:US
Practice Address - Phone:601-969-1910
Practice Address - Fax:601-969-1913
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-08
Last Update Date:2010-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS09754207Y00000X, 207YP0228X, 207YS0123X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngologyGroup - Multi-Specialty
No207YP0228XAllopathic & Osteopathic PhysiciansOtolaryngologyPediatric OtolaryngologyGroup - Multi-Specialty
No207YS0123XAllopathic & Osteopathic PhysiciansOtolaryngologyFacial Plastic SurgeryGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS00012430Medicaid
MS01851775Medicaid
MS00012430Medicaid
MSD00886Medicare UPIN