Provider Demographics
NPI:1639675077
Name:ANAND KANJOLIA, M.D. LLC
Entity Type:Organization
Organization Name:ANAND KANJOLIA, M.D. LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ANAND
Authorized Official - Middle Name:
Authorized Official - Last Name:KANJOLIA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:413-507-2070
Mailing Address - Street 1:299 CAREW ST STE 326
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01104-2367
Mailing Address - Country:US
Mailing Address - Phone:413-507-2070
Mailing Address - Fax:413-734-5454
Practice Address - Street 1:299 CAREW STREET
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:MA
Practice Address - Zip Code:01104-2367
Practice Address - Country:US
Practice Address - Phone:413-507-2070
Practice Address - Fax:413-734-5454
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-04
Last Update Date:2021-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA80714207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty