MEDICARE: DR. RAHUL SINGH ANAND M.D.

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	208VP0000X	Pain Medicine Physician	044014	CT
2	207LP2900X	Pain Medicine (Anesthesiology) Physician	044014	CT

General Provider Information

NPI Number	:	1295793271
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RAHUL SINGH ANAND M.D.

Provider Business Mailing Address
First Line	:	52 BEACH RD
Second Line	:	STE 204
City	:	FAIRFIELD
State	:	CT
Zip	:	06824-6017
Country	:	US
Telephone Number	:	203-319-9355
Fax Number	:	203-292-3434

Provider Business Practice Location Address
First Line	:	52 BEACH RD STE 204
Second Line	:
City	:	FAIRFIELD
State	:	CT
Zip	:	06824-6017
Country	:	US
Telephone Number	:	203-319-9355
Fax Number	:	203-292-3434

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

Provider Enumeration Date	:	05/01/2006
Last Update Date	:	07/30/2018

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