Healthcare Provider Details

I. General information

NPI: 1356882583
Provider Name (Legal Business Name): ANEESHA THOBANI MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/20/2017
Last Update Date: 08/07/2026
Certification Date: 08/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1450 TREAT BLVD STE 220B
WALNUT CREEK CA
94597-2168
US

IV. Provider business mailing address

PO BOX 102858
PASADENA CA
91189-2858
US

V. Phone/Fax

Practice location:
  • Phone: 925-937-1770
  • Fax: 925-296-9053
Mailing address:
  • Phone: 925-952-2828
  • Fax: 925-952-2850

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberA209154
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License NumberA209154
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: