Individual
ANAND NEIL SHIVAPRASAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1313 E HERNDON AVE, FRESNO, CA 93720-3306
(559) 450-5375
Mailing address
1313 E HERNDON AVE, FRESNO, CA 93720-3306
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/10/2020
Last updated
04/10/2020
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