Organization
FAR NORTH SURGERY AND SURGICAL ONCOLOGY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MADHU PRASAD MD (OWNER / PROVIDER)
(907) 276-3676
Entity
Organization
Contact information
Practice address
2925 DEBARR ROAD, SUITE D350, ANCHORAGE, AK 99508-2959
(907) 276-3676
(907) 276-3679
Mailing address
PO BOX 75060, CHICAGO, IL 60675-5060
(907) 276-3676
(907) 276-3679
Taxonomy
Speciality
Code
Description
License number
State
2086X0206X
Surgical Oncology Physician
Primary
—
—
Other
Enumeration date
03/27/2014
Last updated
07/01/2021
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