Doctor Name: | DR. SUSHIL PRABAKARAN ANAND |
NPI Number: | 1548444250 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 13978 |
Business Practice Address: | 304 W F St Ontario, CA - 917623206 |
Business Phone Number: | 9099834746 |
Business Fax Number: | 9099839766 |
Mailing Address: | 304 W F St, ONTARIO |
State: | CA |
Postal Code: | 917623206 |
Phone Number: | 9099834746 |
Fax Number: | 9099839766 |
NPI Enumeration Date: | 12/18/2007 |
NPI Last Update Date: | 11/03/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 13978 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NV |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |