Provider Demographics
NPI:1811285570
Name:MASAND, ANJALI NARAIN (MD)
Entity type:Individual
Prefix:DR
First Name:ANJALI
Middle Name:NARAIN
Last Name:MASAND
Suffix:
Gender:F
Credentials:MD
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Other - First Name:
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Mailing Address - Street 1:246 HAMBURG TPKE
Mailing Address - Street 2:SUITE# 207
Mailing Address - City:WAYNE
Mailing Address - State:NJ
Mailing Address - Zip Code:07470-2156
Mailing Address - Country:US
Mailing Address - Phone:973-653-3366
Mailing Address - Fax:973-653-3365
Practice Address - Street 1:246 HAMBURG TPKE
Practice Address - Street 2:SUITE #207
Practice Address - City:WAYNE
Practice Address - State:NJ
Practice Address - Zip Code:07470-2156
Practice Address - Country:US
Practice Address - Phone:973-653-3366
Practice Address - Fax:973-653-3365
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-15
Last Update Date:2017-02-27
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA09939500207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0545171Medicaid
NJ556656ACQMedicare PIN