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General NPI Number Information
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NPI Number | 1396009890
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Entity Type | Individual
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Provider Name | CHARENYA ANANDAN M. D.
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Gender | Female
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Dates
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Enumeration Date | 06/28/2012
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Last Update Date | 11/06/2020
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Provider Practice Location Address
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Address Line | 200 1ST ST SW MAYO 8
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City | ROCHESTER
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State | MN
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Zip | 55905-0001
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Country | US
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Telephone | 507-284-8953
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Fax |
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Provider Business Mailing Address
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Address Line | 7200 CAMBRIDGE ST, BCM 609
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City | HOUSTON
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State | TX
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Zip | 77030
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Country | US
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Telephone | 713-798-7990
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084N0008X
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Taxonomy Name | Neuromuscular Medicine (Psychiatry & Neurology) Physician
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License Number | S0256
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | S0256
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License Number State | TX
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