Healthcare Provider Details

I. General information

NPI: 1578521050
Provider Name (Legal Business Name): ARUN ANAND MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/03/2006
Last Update Date: 03/30/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1208 E 5TH ST SUITE#300
BENICIA CA
94510-3502
US

IV. Provider business mailing address

PO BOX 5668
WALNUT CREEK CA
94596-1668
US

V. Phone/Fax

Practice location:
  • Phone: 707-748-7248
  • Fax: 707-745-9076
Mailing address:
  • Phone: 707-745-3112
  • Fax: 707-745-9076

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberA44609
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License NumberA44609
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: