Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207L00000X | Anesthesiologist | 20469 | MS |
N | 207L00000X | Anesthesiologist | E4579 | AR |
NPI | 1003836818 |
---|---|
Provider Name | Dr. Suwarna Anand |
First Address | Jackson, MS 39216-4500 |
Second Address | New Haven, CT 06520-8051 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/07/2006 |
Last Update Date | 11/09/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00624711 | (05) | MS |
159868001 | (05) | AR |
302I057865 | MEDICARE - PTAN (01) | MS |