Provider Demographics
NPI:1023266764
Name:ANAND, MANEET PAL SINGH (OTR)
Entity type:Individual
Prefix:
First Name:MANEET
Middle Name:PAL SINGH
Last Name:ANAND
Suffix:
Gender:M
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5038 S WEBSTER ST
Mailing Address - Street 2:5112B
Mailing Address - City:KOKOMO
Mailing Address - State:IN
Mailing Address - Zip Code:46902-6918
Mailing Address - Country:US
Mailing Address - Phone:703-201-1486
Mailing Address - Fax:
Practice Address - Street 1:5038 S WEBSTER ST
Practice Address - Street 2:5112B
Practice Address - City:KOKOMO
Practice Address - State:IN
Practice Address - Zip Code:46902-6918
Practice Address - Country:US
Practice Address - Phone:703-201-1486
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-07
Last Update Date:2008-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN31004590A314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility