Provider Demographics
NPI:1164865093
Name:SUMEET K. ANAND M.D., P.C
Entity type:Organization
Organization Name:SUMEET K. ANAND M.D., P.C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DOCTOR
Authorized Official - Prefix:
Authorized Official - First Name:SUMEET
Authorized Official - Middle Name:K
Authorized Official - Last Name:ANAND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:631-647-9100
Mailing Address - Street 1:PO BOX 249
Mailing Address - Street 2:
Mailing Address - City:BRIGHTWATERS
Mailing Address - State:NY
Mailing Address - Zip Code:11718-0249
Mailing Address - Country:US
Mailing Address - Phone:631-647-9100
Mailing Address - Fax:631-647-9099
Practice Address - Street 1:1111 MONTAUK HWY
Practice Address - Street 2:SUITE 2-2
Practice Address - City:WEST ISLIP
Practice Address - State:NY
Practice Address - Zip Code:11795-4910
Practice Address - Country:US
Practice Address - Phone:631-647-9100
Practice Address - Fax:631-647-9099
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-10
Last Update Date:2013-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY229976207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02639650Medicaid
NYP3719833OtherOXFORD
NYP3719833OtherOXFORD