Prasad, Anita

Prasad, Anita is an individual health care provider with primary practice located at 3840 N 16Th St , Phoenix AZ 85016-5917. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Retina Specialist, Allopathic & Osteopathic Physicians / Ophthalmology. Allopathic & Osteopathic Physicians / Ophthalmology is her primary health care specialty. Prasad, Anita can be contacted via phone (602) 232-6066.

Contact Information

Primary practice address
3840 N 16Th St Phoenix AZ 85016-5917
Phone: (602) 232-6066
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Retina Specialist 207WX0107X 41475 Arizona
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 41475 Arizona
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 2006010645 Missouri
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X MD431511 Pennsylvania

Profile Details

NPI number 1114967981
LBN Legal business name Prasad, Anita
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2006
Last updated Oct 9th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114967981 NPPES
Arizona MEDICAID 473402

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