Provider Demographics
NPI:1457599300
Name:ANAND, RISHI DEV (MD)
Entity Type:Individual
Prefix:DR
First Name:RISHI
Middle Name:DEV
Last Name:ANAND
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 1:12 OAKMONT CIR
Mailing Address - Street 2:
Mailing Address - City:GLEN MILLS
Mailing Address - State:PA
Mailing Address - Zip Code:19342-1822
Mailing Address - Country:US
Mailing Address - Phone:518-928-0592
Mailing Address - Fax:
Practice Address - Street 1:3554 HULMEVILLE RD STE 101
Practice Address - Street 2:
Practice Address - City:BENSALEM
Practice Address - State:PA
Practice Address - Zip Code:19020-4366
Practice Address - Country:US
Practice Address - Phone:215-310-8087
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-01-30
Last Update Date:2023-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD442471207R00000X
NJ25MA08585600207R00000X, 207RE0101X
NY252931207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0422126Medicaid
PA30096397OtherKEYSTONE MERCY
PA1025843040001Medicaid
PA3831717000OtherINDEPENDENCE BLUE CROSS
PA1025843040001Medicaid
PA30096397OtherKEYSTONE MERCY