Individual
DR. ANKINEEDU PRASAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
894 EASTERN PKWY, BROOKLYN, NY 11213-3618
(516) 450-0701
(516) 822-3067
Mailing address
12 NORTHUMBERLAND RD, JERICHO, NY 11753-2615
(516) 450-0701
(516) 822-3067
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
199086
NY
207RN0300X
Nephrology Physician
Primary
199086
NY
Other
Enumeration date
05/06/2006
Last updated
11/18/2019
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