Provider Demographics
NPI:1689017550
Name:BACHU, ANIL KRISHNA (MD)
Entity Type:Individual
Prefix:DR
First Name:ANIL
Middle Name:KRISHNA
Last Name:BACHU
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:3401 SPRINGHILL DR STE 240
Mailing Address - Street 2:
Mailing Address - City:NORTH LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72117-2926
Mailing Address - Country:US
Mailing Address - Phone:501-945-8838
Mailing Address - Fax:501-945-8835
Practice Address - Street 1:3401 SPRINGHILL DR STE 240
Practice Address - Street 2:
Practice Address - City:NORTH LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72117-2926
Practice Address - Country:US
Practice Address - Phone:501-945-8838
Practice Address - Fax:501-945-8835
Is Sole Proprietor?:No
Enumeration Date:2013-04-10
Last Update Date:2020-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH351278732084P0800X
PAMD4612752084P0800X
ARE-125452084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry