Provider Demographics
NPI:1336021328
Name:MY PROVIDER ON DEMAND, PC
Entity type:Organization
Organization Name:MY PROVIDER ON DEMAND, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ANA
Authorized Official - Middle Name:AROSHIDZE
Authorized Official - Last Name:SAAD
Authorized Official - Suffix:
Authorized Official - Credentials:DNP, FNP
Authorized Official - Phone:781-354-4141
Mailing Address - Street 1:266 N MAIN ST UNIT 8
Mailing Address - Street 2:
Mailing Address - City:MANSFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:02048-3331
Mailing Address - Country:US
Mailing Address - Phone:781-354-4141
Mailing Address - Fax:
Practice Address - Street 1:266 N MAIN ST UNIT 8
Practice Address - Street 2:
Practice Address - City:MANSFIELD
Practice Address - State:MA
Practice Address - Zip Code:02048-3331
Practice Address - Country:US
Practice Address - Phone:781-354-4141
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-22
Last Update Date:2025-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center