Anil Sudnaganta Prasad Pllc

NPI 1053508093 - General Practice - 208D00000X

NPI Details
NPI 1053508093
Enumeration Date 10/03/2007
Last Updated 10/03/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name ANIL SUDNAGANTA ANIL
Position OWNER
Phone (419) 882-6545
Fax (419) 882-6545
Practice Location
5659 BREEZEBAY DRIVE
SYLVANIA OH, 43560, US
Phone (419) 882-6545
Fax (419) 882-6545
Business Location
5659 BREEZEBAY DRIVE
SYLVANIA OH, 43560, US
Phone (419) 882-6545
Fax (419) 882-6545
Toxanomy
Taxonomy Code 208D00000X
License State Michigan
License Number 4301087082
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According to our database, Anil Sudnaganta Prasad Pllc NPI is 1053508093, taxonomy code is 208D00000X and license number is 4301087082, license state is located at Michigan. Anil Sudnaganta Prasad Pllc physically located at 5659 Breezebay Drive, Sylvania OH, 43560. NPI Number 1033115704 has the healthcare provider type.

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1053508093 NPI number is provided on an as is basis without warranty of any kind. 1053508093 is maintained by the National Plan & Provider Enumeration System. The contents of Anil Sudnaganta Prasad Pllc are for informational purposes only.