Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | 09754 | MS |
N | 207YP0228X | Pediatric Otolaryngology | 09754 | MS |
N | 207YS0123X | Facial Plastic Surgeon | 09754 | MS |
NPI | 1689763856 |
---|---|
Provider Name | Dr. Vinod Kumar Anand |
First Address | Jackson, MS 39202 |
Second Address | Jackson, MS 39202 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/10/2006 |
Last Update Date | 23/03/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00012430 | (05) | MS |
D00886 | (02) |