Individual
TERRENCE ANIL PRASAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
13943 N 91ST AVE STE I, PEORIA, AZ 85381-3692
(623) 815-2690
(623) 815-2689
Mailing address
13943 N 91ST AVE STE I, PEORIA, AZ 85381-3692
(623) 815-2690
(623) 815-2689
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
011020
AZ
207RR0500X
Rheumatology Physician
2022025164
MO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/26/2019
Last updated
06/25/2024
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