Provider Demographics
NPI:1689311763
Name:LADDHAD, ANUSHKA
Entity Type:Individual
Prefix:
First Name:ANUSHKA
Middle Name:
Last Name:LADDHAD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2191 DAYBREAK DR
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:IL
Mailing Address - Zip Code:60503-6701
Mailing Address - Country:US
Mailing Address - Phone:319-471-7396
Mailing Address - Fax:
Practice Address - Street 1:10972 ARRINGTON DR
Practice Address - Street 2:
Practice Address - City:RANCHO CORDOVA
Practice Address - State:CA
Practice Address - Zip Code:95670-8014
Practice Address - Country:US
Practice Address - Phone:319-471-7396
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-05-19
Last Update Date:2022-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist