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1346235264

NPI Code Detail

MEDICARE: ANAND S VEERABAHU M.D.

MEDICARE: ANAND S VEERABAHU 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	208M00000X	Hospitalist Physician	036-105435	IL
2	207R00000X	Internal Medicine Physician	64714	MN
3	208M00000X	Hospitalist Physician	036105435	IL
4	208M00000X	Hospitalist Physician	64714	MN
5	208M00000X	Hospitalist Physician	2018016848	MO
6	208M00000X	Hospitalist Physician	19579	NV
7	208M00000X	Hospitalist Physician	01084226A	IN
8	207R00000X	Internal Medicine Physician	036105435	IL
9	207R00000X	Internal Medicine Physician	19579	NV
10	207R00000X	Internal Medicine Physician	2018016848	MO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1346235264
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANAND S VEERABAHU M.D.

Provider Business Mailing Address
First Line	:	1600 E BROADWAY
Second Line	:
City	:	COLUMBIA
State	:	MO
Zip	:	65201-5844
Country	:	US
Telephone Number	:	573-815-8000
Fax Number	:	573-815-8556

Provider Business Practice Location Address
First Line	:	4201 W MEDICAL CENTER DR
Second Line	:
City	:	MCHENRY
State	:	IL
Zip	:	60050-8409
Country	:	US
Telephone Number	:	815-759-4323
Fax Number	:	815-759-4948

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

Provider Enumeration Date	:	09/16/2005
Last Update Date	:	09/24/2024

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Directions to “ ANAND S VEERABAHU M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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