MEDICARE: ANAND B MOVVA MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	K9621	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0091EY	OTHER	TX	BCBS
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1184612392
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANAND B MOVVA MD

Provider Business Mailing Address
First Line	:	2515 TEXAS AVE
Second Line	:
City	:	BRIDGE CITY
State	:	TX
Zip	:	77611-2847
Country	:	US
Telephone Number	:	409-735-2486
Fax Number	:	409-735-2487

Provider Business Practice Location Address
First Line	:	2515 TEXAS AVE
Second Line	:
City	:	BRIDGE CITY
State	:	TX
Zip	:	77611-2847
Country	:	US
Telephone Number	:	409-735-2486
Fax Number	:	409-735-2487

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/11/2005
Last Update Date	:	06/23/2008

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