Provider Demographics
NPI:1780851956
Name:KARSAN, ANAND S (MD)
Entity Type:Individual
Prefix:DR
First Name:ANAND
Middle Name:S
Last Name:KARSAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:ANAND
Other - Middle Name:S
Other - Last Name:PATEL
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:4238 EL CAMINO REAL
Mailing Address - Street 2:
Mailing Address - City:PALO ALTO
Mailing Address - State:CA
Mailing Address - Zip Code:94306-4404
Mailing Address - Country:US
Mailing Address - Phone:510-504-4487
Mailing Address - Fax:
Practice Address - Street 1:405 W JACKSON ST
Practice Address - Street 2:
Practice Address - City:CARBONDALE
Practice Address - State:IL
Practice Address - Zip Code:62901-1462
Practice Address - Country:US
Practice Address - Phone:618-549-0721
Practice Address - Fax:618-457-0469
Is Sole Proprietor?:No
Enumeration Date:2008-05-15
Last Update Date:2021-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101250455207P00000X
IL036.127085207P00000X
OH35.099343207P00000X
TN47910207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL036.127085OtherMEDICAL LICENSE