MEDICARE: DR. ASHRAF ANANI 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	207R00000X	Internal Medicine Physician	ME92896	FL
2	207R00000X	Internal Medicine Physician	P9791	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
4	29931	OTHER	FL	BCBS

General Provider Information

NPI Number	:	1629041710
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ASHRAF ANANI M.D.

Provider Business Mailing Address
First Line	:	4515 SETON CENTER PARKWAY
Second Line	:	SUITE 215
City	:	AUSTIN
State	:	TX
Zip	:	78759-5785
Country	:	US
Telephone Number	:	512-407-8686
Fax Number	:	512-421-4489

Provider Business Practice Location Address
First Line	:	201 SETON PKWY
Second Line	:
City	:	ROUND ROCK
State	:	TX
Zip	:	78665-8000
Country	:	US
Telephone Number	:	512-324-4000
Fax Number	:	512-342-1984

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

Provider Enumeration Date	:	02/09/2006
Last Update Date	:	04/17/2015

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