Organization
ANAND PRAKASH, M.D., INC.
Active
Organization
ANAND PRAKASH, M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANAND PRAKASH M.D. (DOCTOR/OWNER)
(951) 359-6030
Entity
Organization
Contact information
Practice address
3975 JACKSON STREET, SUITE #105, RIVERSIDE, CA 92503-3945
(951) 359-6030
(951) 359-6032
Mailing address
3975 JACKSON STREET, SUITE #105, RIVERSIDE, CA 92503-3945
(951) 359-6030
(951) 359-6032
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
A26623
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A266230
—
CA
Enumeration date
01/25/2007
Last updated
02/04/2011
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