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NPI Code Detail

MEDICARE: RAJANI ANAND M.D.

MEDICARE: RAJANI ANAND 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
12080P0202XPediatric Cardiology PhysicianMD21879TN

General Provider Information

NPI Number : 1821081134
Entity Type Code : Individual
Provider Name (Legal Business Name) : RAJANI ANAND M.D.
Provider Business Mailing Address
First Line : PO BOX 699
Second Line :
City : MOUNTAIN HOME
State : TN
Zip : 37684-0699
Country : US
Telephone Number : 423-439-7320
Fax Number : 423-439-7343
Provider Business Practice Location Address
First Line : 325 N STATE OF FRANKLIN RD
Second Line : GROUND FLOOR
City : JOHNSON CITY
State : TN
Zip : 37604-6062
Country : US
Telephone Number : 423-439-7320
Fax Number : 423-439-7343
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/23/2005
Last Update Date : 11/02/2010

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