Provider Demographics
NPI:1538237813
Name:ANAND, AJAY J (MD)
Entity type:Individual
Prefix:DR
First Name:AJAY
Middle Name:J
Last Name:ANAND
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:29 DEER PATH LN
Mailing Address - Street 2:
Mailing Address - City:WESTON
Mailing Address - State:MA
Mailing Address - Zip Code:02493-1139
Mailing Address - Country:US
Mailing Address - Phone:781-642-1912
Mailing Address - Fax:781-642-0381
Practice Address - Street 1:29 DEER PATH LN
Practice Address - Street 2:
Practice Address - City:WESTON
Practice Address - State:MA
Practice Address - Zip Code:02493-1139
Practice Address - Country:US
Practice Address - Phone:781-642-1912
Practice Address - Fax:781-642-0381
Is Sole Proprietor?:No
Enumeration Date:2006-12-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA76604207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA3122701Medicaid
MA3122701Medicaid