| Anand Kanjolia, M.d. Llc | |
|
299 Carew Street Springfield MA 01104-2367 | |
| (413) 507-2070 | |
| (413) 734-5454 |
| Full Name | Anand Kanjolia, M.d. Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 299 Carew Street, Springfield, Massachusetts |
| Authorized Official Name and Position | Anand Kanjolia (PRESIDENT) |
| Authorized Official Contact | 4135072070 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Anand Kanjolia, M.d. Llc 299 Carew St Ste 326 Springfield MA 01104-2367 Ph: (413) 507-2070 | Anand Kanjolia, M.d. Llc 299 Carew Street Springfield MA 01104-2367 Ph: (413) 507-2070 |
| NPI Number | 1639675077 |
|---|---|
| Provider Enumeration Date | 04/04/2018 |
| Last Update Date | 02/03/2021 |
| Medicare PECOS PAC ID | 3375807688 |
|---|---|
| Medicare Enrollment ID | O20180514000100 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639675077 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 80714 (Massachusetts) | Primary |
| Provider Name | Anand Kanjolia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861465593 PECOS PAC ID: 2567445844 Enrollment ID: I20060130000824 |
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