Basic Information
Provider Information
NPI: 1902243025
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ANAND
FirstName: ROHIT
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 800 ROSE ST
Address2:  
City: LEXINGTON
State: KY
PostalCode: 405367001
CountryCode: US
TelephoneNumber: 8593234937
FaxNumber:  
Practice Location
Address1: 1615 DELAWARE ST
Address2:  
City: LONGVIEW
State: WA
PostalCode: 986322367
CountryCode: US
TelephoneNumber: 3604142730
FaxNumber:  
Other Information
ProviderEnumerationDate: 05/30/2013
LastUpdateDate: 06/14/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 06/14/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000XMD60904027WAN Allopathic & Osteopathic PhysiciansInternal Medicine 
207R00000XP28813MDN Allopathic & Osteopathic PhysiciansInternal Medicine 
207RG0100XA171186CAN Allopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
207RG0100X49138KYN Allopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
208M00000XA171186CAN Allopathic & Osteopathic PhysiciansHospitalist 
207RG0100XMD60904027WAY Allopathic & Osteopathic PhysiciansInternal MedicineGastroenterology

No ID Information.


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