| Anand Prakash, M.d., Inc. | |
|
3975 Jackson Street Suite #105 Riverside CA 92503-3945 | |
| (951) 359-6030 | |
| (951) 359-6032 |
| Full Name | Anand Prakash, M.d., Inc. |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 3975 Jackson Street, Riverside, California |
| Authorized Official Name and Position | Anand Prakash (DOCTOR/OWNER) |
| Authorized Official Contact | 9513596030 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Anand Prakash, M.d., Inc. 3975 Jackson Street Suite #105 Riverside CA 92503-3945 Ph: (951) 359-6030 | Anand Prakash, M.d., Inc. 3975 Jackson Street Suite #105 Riverside CA 92503-3945 Ph: (951) 359-6030 |
| NPI Number | 1841345162 |
|---|---|
| Provider Enumeration Date | 01/25/2007 |
| Last Update Date | 02/04/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841345162 | NPI | - | NPPES |
| 00A266230 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | A26623 (California) | Primary |
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