| Doctor Name: | DR. ANIL S PRASAD |
| NPI Number: | 1376667337 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D |
| License Number: | 4301087082 |
| Business Practice Address: | 10501 Telegraph Rd Suite #101 Taylor, MI - 481803375 |
| Business Phone Number: | 3132957200 |
| Business Fax Number: | 3132950009 |
| Mailing Address: | 5659 Breeze Bay Dr, SYLVANIA |
| State: | OH |
| Postal Code: | 435608986 |
| Phone Number: | 4198826545 |
| Fax Number: | |
| NPI Enumeration Date: | 03/16/2007 |
| NPI Last Update Date: | 08/30/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 4301087082 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |