Individual
PRASAN CHARIYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3522 49TH ST, MOLINE, IL 61265-6656
(309) 762-6949
Mailing address
3522 49TH ST, MOLINE, IL 61265-6656
(309) 762-6949
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
IL
Other
Enumeration date
07/28/2005
Last updated
07/08/2007
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