Healthcare Provider Details

I. General information

NPI: 1285121277
Provider Name (Legal Business Name): MUHAMMAD AANISH RAEES MBBS, MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/16/2018
Last Update Date: 08/07/2026
Certification Date: 08/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11234 ANDERSON ST STE 4431
LOMA LINDA CA
92350-1716
US

IV. Provider business mailing address

11234 ANDERSON ST
LOMA LINDA CA
92350-1716
US

V. Phone/Fax

Practice location:
  • Phone: 909-558-1531
  • Fax: 909-558-0311
Mailing address:
  • Phone: 909-558-1531
  • Fax: 909-558-0311

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080P0202X
TaxonomyPediatric Cardiology Physician
License NumberA211196
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number35.144564
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: