MEDICARE: DR. ANUJ RAJ KANDEL M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208C00000X	Colon & Rectal Surgery Physician	MD19198	ME
2	208C00000X	Colon & Rectal Surgery Physician	Q4154	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1528222817
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANUJ RAJ KANDEL M.D.

Provider Business Mailing Address
First Line	:	11551 FOREST CENTRAL DR
Second Line	:	SUITE 133
City	:	DALLAS
State	:	TX
Zip	:	75243-3920
Country	:	US
Telephone Number	:	214-343-8565
Fax Number	:	214-342-3054

Provider Business Practice Location Address
First Line	:	2460 N I 35 STE 275
Second Line	:
City	:	WAXAHACHIE
State	:	TX
Zip	:	75165-5266
Country	:	US
Telephone Number	:	214-343-8565
Fax Number	:	214-342-3054

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/15/2008
Last Update Date	:	03/10/2021

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