Provider Demographics
NPI:1831285931
Name:RANI ANBARASU MD PA
Entity Type:Organization
Organization Name:RANI ANBARASU MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RANI
Authorized Official - Middle Name:
Authorized Official - Last Name:ANBARASU
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:940-382-6900
Mailing Address - Street 1:PO BOX 2446
Mailing Address - Street 2:
Mailing Address - City:COPPELL
Mailing Address - State:TX
Mailing Address - Zip Code:75019-8446
Mailing Address - Country:US
Mailing Address - Phone:940-382-6900
Mailing Address - Fax:940-382-1005
Practice Address - Street 1:4206 N INTERSTATE 35
Practice Address - Street 2:
Practice Address - City:DENTON
Practice Address - State:TX
Practice Address - Zip Code:76207-3441
Practice Address - Country:US
Practice Address - Phone:940-382-6900
Practice Address - Fax:940-382-1005
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-05
Last Update Date:2024-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK9986207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX000000527VOtherBCBS TX
TXDA2893OtherPALMETTO GBA - RAILROAD
TX160669101Medicaid
TXDA2893OtherPALMETTO GBA - RAILROAD
TX=========OtherUNICARE
TXH29270Medicare UPIN