Individual
DR. PRASHANTH ANAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
1200 N EAST ST, APT A, OLNEY, IL 62450-2432
(618) 395-6081
Mailing address
800 E LOCUST ST, OLNEY, IL 62450-2553
(618) 395-7340
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
036-131245
IL
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
RTL165439
NC
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
P2622
MD
Other
Enumeration date
07/30/2010
Last updated
10/12/2012
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