Individual
MR. BABU RAJENDRA PRASAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
108 N DIVISION ST, CARTERVILLE, IL 62918-1245
(618) 985-3929
(618) 985-9576
Mailing address
108 N DIVISION ST, CARTERVILLE, IL 62918-1245
(618) 985-3929
(618) 985-9576
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
336-015980
IL
Other
Enumeration date
01/03/2006
Last updated
06/27/2016
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