Healthcare Provider Details

I. General information

NPI: 1316117617
Provider Name (Legal Business Name): EDWIN J ANAND M,D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: EDWIN JEBAKUMAR ANANDAPANDIAN M.D.

II. Dates (important events)

Enumeration Date: 03/03/2008
Last Update Date: 08/27/2026
Certification Date: 08/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2900 MILITARY RD
NIAGARA FALLS NY
14304-1252
US

IV. Provider business mailing address

2900 MILITARY RD
NIAGARA FALLS NY
14304-1252
US

V. Phone/Fax

Practice location:
  • Phone: 716-205-0836
  • Fax: 716-205-0836
Mailing address:
  • Phone:
  • Fax: 716-205-0836

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License Number269193
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number269193
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: