Healthcare Provider Details

I. General information

NPI: 1508848425
Provider Name (Legal Business Name): HARISH C ANAND MD
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 11/16/2005
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

120 MEADOWCREST ST SUITE 245
GRETNA LA
70056-5255
US

IV. Provider business mailing address

120 MEADOWCREST ST SUITE 245
GRETNA LA
70056-5255
US

V. Phone/Fax

Practice location:
  • Phone: 504-391-7690
  • Fax: 504-391-7625
Mailing address:
  • Phone: 504-391-7690
  • Fax: 504-391-7625

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberMD.03851R
License Number StateLA
# 2
Primary TaxonomyY
Taxonomy Code2080N0001X
TaxonomyNeonatal-Perinatal Medicine Physician
License NumberMD.03851R
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: