MEDICARE: AZAD K ANAND, M.D., P.C. 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	2085R0202X	Diagnostic Radiology Physician	138079	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	112983328	OTHER	NY	TAX ID
2	1194851931	OTHER	NY	SITE NPI NUMBER
3	1548396203	OTHER	NY	SITE NPI NUMBER
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	1114189735	OTHER	NY	GROUP NPI NUMBER
6	1689700403	OTHER	NY	SITE NPI NUMBER
7	112797720	OTHER	NY	TAX ID
8	1982730784	OTHER	NY	SITE NPI NUMBER
9	113119124	OTHER	NY	TAX ID

General Provider Information

NPI Number	:	1902838816
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AZAD K ANAND, M.D., P.C. M.D.

Provider Business Mailing Address
First Line	:	PO BOX 63
Second Line	:	LONG ISLAND DIAGNOSTIC IMAGING
City	:	SYOSSET
State	:	NY
Zip	:	11791-0063
Country	:	US
Telephone Number	:	631-689-7300
Fax Number	:	631-689-7321

Provider Business Practice Location Address
First Line	:	23 TECHNOLOGY DR
Second Line	:	LONG ISLAND DIAGNSOTIC IMAGING
City	:	EAST SETAUKET
State	:	NY
Zip	:	11733-4075
Country	:	US
Telephone Number	:	631-689-7300
Fax Number	:	631-689-7321

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

Provider Enumeration Date	:	07/07/2006
Last Update Date	:	07/27/2012

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