Provider Demographics
NPI:1013020999
Name:ANIKUL
Entity type:Organization
Organization Name:ANIKUL
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:NAKUL
Authorized Official - Middle Name:
Authorized Official - Last Name:MISTRY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:408-623-6245
Mailing Address - Street 1:301 N JACKSON AVE STE 7A
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95133-2344
Mailing Address - Country:US
Mailing Address - Phone:408-942-9000
Mailing Address - Fax:408-251-1015
Practice Address - Street 1:301 N JACKSON AVE
Practice Address - Street 2:SUITE 7A
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95133-2344
Practice Address - Country:US
Practice Address - Phone:408-942-9000
Practice Address - Fax:408-251-1015
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-16
Last Update Date:2025-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA52821332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
CADME03358FOtherMEDI - CAL
CA52821OtherHOME MEDICAL DEVICE (HMDR)
CAD08607243OtherDMERC EDI SBMITTER ID #
CA52821OtherHOME MEDICAL DEVICE (HMDR)