Provider Demographics
NPI:1578699385
Name:NAVANI, ANNU (MD)
Entity Type:Individual
Prefix:
First Name:ANNU
Middle Name:
Last Name:NAVANI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:ANNU
Other - Middle Name:
Other - Last Name:HARIDASANI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:300 PASTEUR DR
Mailing Address - Street 2:
Mailing Address - City:PALO ALTO
Mailing Address - State:CA
Mailing Address - Zip Code:94305-2200
Mailing Address - Country:US
Mailing Address - Phone:650-723-4000
Mailing Address - Fax:408-356-5307
Practice Address - Street 1:3425 S BASCOM AVE.
Practice Address - Street 2:STE 200
Practice Address - City:CAMPBELL
Practice Address - State:CA
Practice Address - Zip Code:95008
Practice Address - Country:US
Practice Address - Phone:408-356-5292
Practice Address - Fax:408-356-5307
Is Sole Proprietor?:No
Enumeration Date:2007-02-26
Last Update Date:2024-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA77246207L00000X, 208VP0014X, 207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
No207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
No208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
H54240Medicare UPIN
CAP00476396Medicare PIN
CA00A772463Medicare PIN
CAZZZP4311ZMedicare ID - Type Unspecified