Organization
ANIL SUDNAGANTA PRASAD PLLC
Active
Other names
Michigan Home Physicians
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANIL SUDNAGANTA PRASAD M.D. (OWNER)
(419) 882-6545
Entity
Organization
Contact information
Practice address
5659 BREEZEBAY DRIVE, SYLVANIA, OH 43560
(419) 882-6545
(419) 882-6545
Mailing address
5659 BREEZEBAY DRIVE, SYLVANIA, OH 43560
(419) 882-6545
(419) 882-6545
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
4301087082
MI
Other
Enumeration date
10/03/2007
Last updated
10/03/2007
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