Provider Demographics
NPI:1932343969
Name:ANAND, BHAVANA C (MD)
Entity Type:Individual
Prefix:
First Name:BHAVANA
Middle Name:C
Last Name:ANAND
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:1560 BEAM AVE
Mailing Address - Street 2:SUITE F
Mailing Address - City:MAPLEWOOD
Mailing Address - State:MN
Mailing Address - Zip Code:55109
Mailing Address - Country:US
Mailing Address - Phone:651-340-1445
Mailing Address - Fax:651-340-5421
Practice Address - Street 1:1560 BEAM AVE
Practice Address - Street 2:SUITE F
Practice Address - City:MAPLEWOOD
Practice Address - State:MN
Practice Address - Zip Code:55109
Practice Address - Country:US
Practice Address - Phone:651-340-1445
Practice Address - Fax:651-340-5421
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-21
Last Update Date:2023-12-29
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Provider Licenses
StateLicense IDTaxonomies
MN575082083P0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083P0500XAllopathic & Osteopathic PhysiciansPreventive MedicinePreventive Medicine/Occupational Environmental Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MNH400179506Medicare PIN