Provider Demographics
NPI:1841451721
Name:GURSAHANEY, ANEEL P (MD)
Entity type:Individual
Prefix:DR
First Name:ANEEL
Middle Name:P
Last Name:GURSAHANEY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4745 ARAPAHOE AVE- SUITE 310
Mailing Address - Street 2:
Mailing Address - City:BOULDER
Mailing Address - State:CO
Mailing Address - Zip Code:80303
Mailing Address - Country:US
Mailing Address - Phone:303-442-2913
Mailing Address - Fax:303-444-6198
Practice Address - Street 1:4745 ARAPAHOE AVE- SUITE 310
Practice Address - Street 2:
Practice Address - City:BOULDER
Practice Address - State:CO
Practice Address - Zip Code:80303
Practice Address - Country:US
Practice Address - Phone:303-442-2913
Practice Address - Fax:303-444-6198
Is Sole Proprietor?:No
Enumeration Date:2008-06-23
Last Update Date:2022-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036.123641208000000X
CO57663208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics