Organization
NUTAN ANAND PHYSICIAN PC
Active
Other names
Long Island Diagnostic Imaging
Organization subpart
No
Provider details
NPI number
Authorized official
AZAD K ANAND MD (PRESIDENT)
(631) 689-7300
Entity
Organization
Contact information
Practice address
205 OSBORNE AVE, RIVERHEAD, NY 11901-3021
(631) 727-6025
(631) 727-6044
Mailing address
PO BOX 63, SYOSSET, NY 11791-0063
(631) 689-7300
(631) 689-7321
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
138079
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00571857
—
NY
01
—
120964
FDA #
NY
01
—
1548201353
INDIVIDUAL NPI
NY
01
—
167312
FDA NUMBER
NY
01
—
1679609457
INDIVIDUAL NPI
NY
01
—
1689700403
NPI #
NY
01
—
1821124512
INDIVIDUAL NPI
NY
01
—
1902838816
INDIVIDUAL NPI
NY
01
—
211029
SECOND SITE FDA
NY
01
—
51014000
NYS DEPARTMENT OF HEALTH RADIATION CERTIFICATION
NY
Enumeration date
06/25/2008
Last updated
04/22/2013
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