Prasad, Sudha G
Prasad, Sudha G is an individual health care provider with primary practice located at 901 S Koke Mill Rd , Springfield IL 62711-8012. She recently has only one registered license in Allopathic & Osteopathic Physicians / Allergy & Immunology, which is considered as her primary health care specialty. Prasad, Sudha G can be contacted via phone (217) 528-7541.Contact Information
Primary practice address
901 S Koke Mill Rd
Springfield IL 62711-8012
Phone: (217) 528-7541
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Allergy & Immunology | 207K00000X | 036079578 | Illinois |
Profile Details
| NPI number | 1417120189 |
|---|---|
| LBN Legal business name | Prasad, Sudha G |
| Credentials | M.D.C.S. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 2nd, 2008 |
| Last updated | May 20th, 2020 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1417120189 | NPPES |
| Illinois | Other | 028472 | HEALTH ALLIANCE |
| Illinois | Other | D10632 | HEALTH ALLIANCE |
| Illinois | Other | 08405282 | HEALTH ALLIANCE |
| Illinois | Other | 131837 | HEALTH ALLIANCE |
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