Healthcare Provider Details
I. General information
NPI: 1407742802
Provider Name (Legal Business Name): KUWAR ANAND DO PROFESSIONAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/13/2025
Last Update Date: 06/13/2025
Certification Date: 06/13/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1303 E HERNDON AVE
FRESNO CA
93720-3309
US
IV. Provider business mailing address
3518 FLINT AVE
CLOVIS CA
93619-7246
US
V. Phone/Fax
- Phone: 559-450-3000
- Fax:
- Phone: 559-385-1922
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
KUWAR PRABHPREET
S
ANAND
Title or Position: PRESIDENT
Credential: DO
Phone: 559-385-1922