Provider Demographics
NPI:1689087322
Name:ANAND, DAKSHA MORAR
Entity type:Individual
Prefix:
First Name:DAKSHA
Middle Name:MORAR
Last Name:ANAND
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:CHARLES SPRAGUE-CS1.104 5161B HARRY HINES BLVD
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75390-0001
Mailing Address - Country:US
Mailing Address - Phone:214-645-2080
Mailing Address - Fax:214-645-2558
Practice Address - Street 1:CHARLES SPRAGUE-CS1.104 5161B HARRY HINES BLVD
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75390-0001
Practice Address - Country:US
Practice Address - Phone:214-645-2080
Practice Address - Fax:214-645-2558
Is Sole Proprietor?:No
Enumeration Date:2014-06-10
Last Update Date:2025-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX107223174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAAU820ZMedicare PIN