Provider Demographics
NPI:1275336653
Name:VADDE, ANEESHA
Entity type:Individual
Prefix:
First Name:ANEESHA
Middle Name:
Last Name:VADDE
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 TOWN PARK DR APT 2301
Mailing Address - Street 2:
Mailing Address - City:CONROE
Mailing Address - State:TX
Mailing Address - Zip Code:77304-3145
Mailing Address - Country:US
Mailing Address - Phone:561-409-6003
Mailing Address - Fax:
Practice Address - Street 1:300 TOWN PARK DR APT 2301
Practice Address - Street 2:
Practice Address - City:CONROE
Practice Address - State:TX
Practice Address - Zip Code:77304-3145
Practice Address - Country:US
Practice Address - Phone:561-409-6003
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-31
Last Update Date:2025-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program