Healthcare Provider Details

I. General information

NPI: 1689588998
Provider Name (Legal Business Name): INNOVATE HEALTH, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/01/2026
Last Update Date: 10/01/2026
Certification Date: 10/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

71 MERIAM ST
LEXINGTON MA
02420-3513
US

IV. Provider business mailing address

71 MERIAM ST
LEXINGTON MA
02420-3513
US

V. Phone/Fax

Practice location:
  • Phone: 617-515-2523
  • Fax:
Mailing address:
  • Phone: 617-515-2523
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number StateNULL

VIII. Authorized Official

Name: DR. SHIKHA ANAND
Title or Position: PRINCIPAL
Credential: MD
Phone: 617-515-2523