# BABU PRASAD, MD

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215552880
- **Authorized official:** BABU PRASAD MD (OWNER)
- **Authorized official phone:** (217) 787-9100

## Contact information

- **Practice address:** 2035 W ILES AVE STE A, SPRINGFIELD, IL 62704-7000
- **Practice address phone:** (217) 787-9100
- **Practice address fax:** (217) 787-6616
- **Mailing address:** 2035 W ILES AVE STE A, SPRINGFIELD, IL 62704-7000
- **Mailing address phone:** (217) 787-9100
- **Mailing address fax:** (217) 787-6616

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | NULL | Yes |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/10/2020
- **Last updated:** 06/10/2020