Provider Demographics
NPI:1982045571
Name:ANADANI, NIDHIBEN ASHVINBHAI (MD)
Entity Type:Individual
Prefix:DR
First Name:NIDHIBEN
Middle Name:ASHVINBHAI
Last Name:ANADANI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:920 STANTON L YOUNG BLVD STE 2040
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73104-5036
Mailing Address - Country:US
Mailing Address - Phone:405-271-4113
Mailing Address - Fax:405-271-5021
Practice Address - Street 1:825 NE 10TH ST STE 5B
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73104
Practice Address - Country:US
Practice Address - Phone:405-271-3635
Practice Address - Fax:405-271-2523
Is Sole Proprietor?:No
Enumeration Date:2013-07-11
Last Update Date:2018-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2876572084N0400X
OK333672084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology