Provider Demographics
NPI:1427800010
Name:ANAND, SHAWANA
Entity type:Individual
Prefix:
First Name:SHAWANA
Middle Name:
Last Name:ANAND
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1911 DOUGLAS BLVD # 85-228
Mailing Address - Street 2:
Mailing Address - City:ROSEVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95661-3811
Mailing Address - Country:US
Mailing Address - Phone:916-626-7568
Mailing Address - Fax:916-900-1294
Practice Address - Street 1:1911 DOUGLAS BLVD # 85-228
Practice Address - Street 2:
Practice Address - City:ROSEVILLE
Practice Address - State:CA
Practice Address - Zip Code:95661-3811
Practice Address - Country:US
Practice Address - Phone:916-626-7568
Practice Address - Fax:916-900-1294
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-04
Last Update Date:2024-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
3747P1801X, 3747A0650X
CA376J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care Provider
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant
No376J00000XNursing Service Related ProvidersHomemaker