Provider Demographics
NPI:1396921342
Name:PATANI, ANAND N (MD)
Entity type:Individual
Prefix:DR
First Name:ANAND
Middle Name:N
Last Name:PATANI
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 1:6545 FRANCE AVE S STE 150
Mailing Address - Street 2:
Mailing Address - City:EDINA
Mailing Address - State:MN
Mailing Address - Zip Code:55435-2180
Mailing Address - Country:US
Mailing Address - Phone:952-848-5600
Mailing Address - Fax:952-848-5660
Practice Address - Street 1:6545 FRANCE AVE S STE 150
Practice Address - Street 2:
Practice Address - City:EDINA
Practice Address - State:MN
Practice Address - Zip Code:55435-2180
Practice Address - Country:US
Practice Address - Phone:952-848-5600
Practice Address - Fax:952-848-5660
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-20
Last Update Date:2023-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036.120901207R00000X
WAMD60238852207R00000X
MN69888207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty