Provider Demographics
NPI:1518025402
Name:MASAND, ANUPAMA C (MD)
Entity Type:Individual
Prefix:DR
First Name:ANUPAMA
Middle Name:C
Last Name:MASAND
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4295 HEMPSTEAD TPKE
Mailing Address - Street 2:
Mailing Address - City:BETHPAGE
Mailing Address - State:NY
Mailing Address - Zip Code:11714-5713
Mailing Address - Country:US
Mailing Address - Phone:516-731-4724
Mailing Address - Fax:516-719-3924
Practice Address - Street 1:4295 HEMPSTEAD TPKE
Practice Address - Street 2:
Practice Address - City:BETHPAGE
Practice Address - State:NY
Practice Address - Zip Code:11714-5713
Practice Address - Country:US
Practice Address - Phone:516-731-4724
Practice Address - Fax:516-719-3924
Is Sole Proprietor?:No
Enumeration Date:2006-12-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY194586-1207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYAM03C39610OtherBLUE CROSS BLUE SHIELD
NY194586-4 CANOtherWORKERS COMPENSATION
NY01530538Medicaid
NYAM014J0920Medicare ID - Type Unspecified
NYAM03C39610OtherBLUE CROSS BLUE SHIELD