Provider Demographics
NPI:1992834923
Name:SHRIDHARANI, ANAND N (MD)
Entity Type:Individual
Prefix:DR
First Name:ANAND
Middle Name:N
Last Name:SHRIDHARANI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:PO BOX 509
Mailing Address - Street 2:
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37401-0509
Mailing Address - Country:US
Mailing Address - Phone:423-778-3274
Mailing Address - Fax:423-778-4664
Practice Address - Street 1:979 E 3RD ST
Practice Address - Street 2:SUITE C-535
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37403-2136
Practice Address - Country:US
Practice Address - Phone:423-778-5910
Practice Address - Fax:423-778-5915
Is Sole Proprietor?:No
Enumeration Date:2007-03-05
Last Update Date:2013-08-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WI52089208800000X
TN50086208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology