Provider Demographics
NPI:1295313526
Name:ANAND, KANWALJIT SINGH
Entity type:Individual
Prefix:
First Name:KANWALJIT
Middle Name:SINGH
Last Name:ANAND
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7801 ABAGAIL RD
Mailing Address - Street 2:
Mailing Address - City:JURUPA VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92509-3337
Mailing Address - Country:US
Mailing Address - Phone:909-243-3666
Mailing Address - Fax:
Practice Address - Street 1:7801 ABAGAIL RD
Practice Address - Street 2:
Practice Address - City:JURUPA VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92509-3337
Practice Address - Country:US
Practice Address - Phone:909-243-3666
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-30
Last Update Date:2021-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAD8220273343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)