Individual
ANOOP KRISHNA PRASAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2621
(617) 726-2784
Mailing address
4 EMERSON PL APT 902, BOSTON, MA 02114-2284
Taxonomy
Speciality
Code
Description
License number
State
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
Primary
294866
MA
Other
Enumeration date
09/19/2022
Last updated
09/19/2022
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