MEDICARE: RANI ANBARASU MD PA

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	K9986	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	000000527V	OTHER	TX	BCBS TX
2	DA2893	OTHER	TX	PALMETTO GBA - RAILROAD
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1831285931
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RANI ANBARASU MD PA

Provider Business Mailing Address
First Line	:	PO BOX 2446
Second Line	:
City	:	COPPELL
State	:	TX
Zip	:	75019-8446
Country	:	US
Telephone Number	:	940-382-6900
Fax Number	:	940-382-1005

Provider Business Practice Location Address
First Line	:	4206 N INTERSTATE 35
Second Line	:
City	:	DENTON
State	:	TX
Zip	:	76207-3441
Country	:	US
Telephone Number	:	940-382-6900
Fax Number	:	940-382-1005

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. RANI ANBARASU
Credential	:	M.D
Telephone Number	:	940-382-6900

Provider Enumeration Date	:	10/05/2006
Last Update Date	:	03/05/2024

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