Individual
ANUJ PRASAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
100 MARIS GROVE WAY, GLEN MILLS, PA 19342-1282
(610) 387-4520
(610) 387-4526
Mailing address
5730 EXECUTIVE DR STE 230, CATONSVILLE, MD 21228-1762
(610) 387-4520
(610) 387-4526
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
OS013432
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1166441
AETNA
—
01
—
1790138
BL SHIELD
—
01
—
2627386000
KEYSTONE
—
Enumeration date
07/25/2006
Last updated
10/25/2023
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