Healthcare Provider Details

I. General information

NPI: 1871556605
Provider Name (Legal Business Name): SHILPI ANAND M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/11/2006
Last Update Date: 05/11/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

130 LA CASA VIA SUITE 209
WALNUT CREEK CA
94598-3045
US

IV. Provider business mailing address

130 LA CASA VIA SUITE 209
WALNUT CREEK CA
94598-3045
US

V. Phone/Fax

Practice location:
  • Phone: 925-935-5853
  • Fax: 925-935-7611
Mailing address:
  • Phone: 925-935-5853
  • Fax: 925-935-7611

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207KA0200X
TaxonomyAllergy Physician
License NumberA104906
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: