institution
Sudha Prasad M.d.s.c.
Allergy Physician in Springfield, Illinois
NPI 1235186958

Sudha Prasad M.d.s.c. is an Allergy Physician based in Springfield, IL and is specialized in Allergy. Sudha Prasad M.d.s.c. practices in Springfield, IL. The NPI Number for Sudha Prasad M.d.s.c. is 1235186958 and holds a License No. (Illinois).

The current practice location address for Sudha Prasad M.d.s.c. is 901 S Koke Mill Rd, Springfield, IL and can be reached out via phone at 214-546-4868 and via fax at 217-698-9286. You can also correspond with Sudha Prasad M.d.s.c. through the mailing address at 901 S KOKE MILL RD, SPRINGFIELD, IL - 62711-8012 (mailing address contact number: 217-546-4868).

Location: 901 S Koke Mill Rd, Springfield, IL, 62711-8012
institution
Provider Profile Details
NPI Number
1235186958
Provider Name
Sudha Prasad M.d.s.c.
Credential
Provider Entity Type
Organization
Address
901 S Koke Mill Rd, Springfield, IL, 62711-8012
Phone Number
214-546-4868
Fax Number
217-698-9286
Provider Enumeration Date
05/28/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
028472 01 IL HEALTH ALLIANCE
08405082 01 IL BLUECROSS BLUESHIELD
114404 01 IL GHP
131837 01 IL HEALTHLINK
institution
Provider Business Practice Location Address Details
Address
901 S Koke Mill Rd
City
State
Zip
62711-8012
Phone Number
214-546-4868
Fax Number
217-698-9286
person
Provider Business Mailing Address Details
Address
901 S Koke Mill Rd
City
State
Zip
62711-8012
Phone Number
214-546-4868
Fax Number
217-698-9286
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Allergy & Immunology
Speciality
Allergy
Taxonomy
License No.
(Illinois)
Definition
Definition to come...
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