Provider Demographics
NPI:1578521050
Name:ANAND, ARUN (MD)
Entity Type:Individual
Prefix:MR
First Name:ARUN
Middle Name:
Last Name:ANAND
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:PO BOX 5668
Mailing Address - Street 2:
Mailing Address - City:WALNUT CREEK
Mailing Address - State:CA
Mailing Address - Zip Code:94596-1668
Mailing Address - Country:US
Mailing Address - Phone:707-745-3112
Mailing Address - Fax:707-745-9076
Practice Address - Street 1:1208 E 5TH ST
Practice Address - Street 2:SUITE#300
Practice Address - City:BENICIA
Practice Address - State:CA
Practice Address - Zip Code:94510-3502
Practice Address - Country:US
Practice Address - Phone:707-748-7248
Practice Address - Fax:707-745-9076
Is Sole Proprietor?:No
Enumeration Date:2006-05-03
Last Update Date:2011-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA44609207L00000X, 207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
No207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A446090OtherBLUE SHIELD OF CA
CA00A446090Medicaid
CA00A446090OtherBLUE SHIELD OF CA
CAZZZ22322ZMedicare PIN
E91326Medicare UPIN