Provider Demographics
NPI:1134396955
Name:MEERASAHIB, ANISH (MD)
Entity type:Individual
Prefix:DR
First Name:ANISH
Middle Name:
Last Name:MEERASAHIB
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 911230
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75391-1230
Mailing Address - Country:US
Mailing Address - Phone:972-997-8000
Mailing Address - Fax:972-234-0813
Practice Address - Street 1:501 W MEDICAL CENTER BLVD
Practice Address - Street 2:
Practice Address - City:WEBSTER
Practice Address - State:TX
Practice Address - Zip Code:77598-4219
Practice Address - Country:US
Practice Address - Phone:281-332-7505
Practice Address - Fax:281-332-7616
Is Sole Proprietor?:No
Enumeration Date:2008-05-12
Last Update Date:2022-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXQ0673207RH0003X, 207RX0202X
VA0101245551207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology
No207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX339208602Medicaid
VAC05754OtherMEDICARE GROUP
TX339208603Medicaid
VA11354396955Medicaid
VA1417027608OtherGROUP NPI
TX339208601Medicaid
TXP01415821OtherRAILROAD MEDICARE
VA11354396955Medicaid
TXP01415821OtherRAILROAD MEDICARE
TX367374YQCCMedicare PIN