Individual
DR. ANIL PRASAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1425 FREMAUX AVE, SUITE A, SLIDELL, LA 70458-3150
(985) 643-7588
Mailing address
PO BOX 369, OPELOUSAS, LA 70571-0369
(337) 255-6589
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
Primary
022071
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1658839
—
LA
Enumeration date
09/13/2007
Last updated
09/13/2007
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