Individual
DR. ANITA PRASAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3840 N 16TH ST, PHOENIX, AZ 85016-5917
(602) 232-6066
Mailing address
3840 N 16TH ST, PHOENIX, AZ 85016-5917
(602) 232-6066
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
2006010645
MO
207W00000X
Ophthalmology Physician
Primary
41475
AZ
207W00000X
Ophthalmology Physician
MD431511
PA
207WX0107X
Retina Specialist (Ophthalmology) Physician
41475
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
473402
—
AZ
Enumeration date
06/08/2006
Last updated
10/09/2023
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