Healthcare Provider Details

I. General information

NPI: 1104812965
Provider Name (Legal Business Name): VEENA ANAND M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/26/2005
Last Update Date: 09/12/2024
Certification Date: 09/12/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1602 ROCK PRAIRIE RD STE 300
COLLEGE STATION TX
77845-8309
US

IV. Provider business mailing address

1500 UNIVERSITY DR E #100
COLLEGE STATION TX
77840-2600
US

V. Phone/Fax

Practice location:
  • Phone: 979-693-7400
  • Fax:
Mailing address:
  • Phone: 979-846-1100
  • Fax: 979-260-9390

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberJ5216
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: