Provider Demographics
NPI:1023264421
Name:K. ANAND, MD, LTD.
Entity type:Organization
Organization Name:K. ANAND, MD, LTD.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KRISHNASWAMY
Authorized Official - Middle Name:
Authorized Official - Last Name:ANAND
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:630-789-1316
Mailing Address - Street 1:4 CLUBSIDE CT
Mailing Address - Street 2:
Mailing Address - City:BURR RIDGE
Mailing Address - State:IL
Mailing Address - Zip Code:60527-8129
Mailing Address - Country:US
Mailing Address - Phone:630-789-1316
Mailing Address - Fax:640-734-8385
Practice Address - Street 1:4 CLUBSIDE CT
Practice Address - Street 2:
Practice Address - City:BURR RIDGE
Practice Address - State:IL
Practice Address - Zip Code:60527-8129
Practice Address - Country:US
Practice Address - Phone:630-789-1316
Practice Address - Fax:640-734-8385
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-18
Last Update Date:2008-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL02215412OtherBLUE CROSS / BLUE SHIELD
IL657960Medicare PIN