Sudha Prasad M.D.S.C. in Springfield - Allergy

Sudha Prasad M.D.S.C. - NPI 1235186958

Sudha Prasad M.D.S.C. is a Allergy in Springfield, Illinois. Sudha Prasad M.D.S.C. practices all healthcare services and medical treatments related to Allergy. The NPI Number for Sudha Prasad M.D.S.C. is 1235186958. The last update date is 2008-04-20.

Sudha Prasad M.D.S.C.'s current location address is 901 S Koke Mill Rd, Springfield, Illinois. You can contact this provider via phone number 2175464868 and fax number 2176989286. The mailing address for Sudha Prasad M.D.S.C. is 901 S Koke Mill Rd, Springfield, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Organization Sudha Prasad M.D.S.C.
Address 901 S Koke Mill Rd, Springfield, Illinois
Phone Number 2175464868
Fax Number 2176989286
Sole Proprietor --
Credentials --

Authorized Official

Title or Position DOCTOR
Authorized Official Name Prasad G Sudha
Credentials M.D.
Telephone Number 2175464868

NPI Number Detail

NPI Number 1235186958
Provider Enumeration Date 2006-05-28
Last Updated Date 2008-04-20

Provider Mailing Address Detail

Address 901 S Koke Mill Rd
City Springfield
State Illinois (IL)
Post Code 627118012
Phone Number 2175464868
Fax Number 2176989286

Provider's Primary Taxonomy Detail

Speciality Allergy
Taxonomy 207Ka0200X
Definition:
A physician who specializes in the diagnosis, treatment, and management of allergies.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
28472 IL HEALTH ALLIANCE
8405082 IL BLUECROSS BLUESHIELD
114404 IL GHP
131837 IL HEALTHLINK

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FAQs about Sudha Prasad M.D.S.C.

What is the Sudha Prasad M.D.S.C.'s 1235186958?

The Sudha Prasad M.D.S.C.'s NPI (National Provider Identifier) Number is 1235186958. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where Sudha Prasad M.D.S.C. is located?

The Sudha Prasad M.D.S.C. is situated at the following address: 901 S Koke Mill Rd, Springfield, IL, 627118012.

What is Sudha Prasad M.D.S.C.'s primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Sudha Prasad M.D.S.C. is Allergy, and the corresponding taxonomy classification code for this specialized field is 207Ka0200X.

On what date did the Sudha Prasad M.D.S.C. receive its 1235186958 assignment from the Centers for Medicare & Medicaid Services?

The Sudha Prasad M.D.S.C. was assigned its 1235186958 by the Centers for Medicare & Medicaid Services on 2006-05-28.

As of what date was the information pertaining to Sudha Prasad M.D.S.C., such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Sudha Prasad M.D.S.C., including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2008-04-20.

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