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Springfield, Illinois

Provider NPI: 1235186958

Organization Information:
Organization Name:  SUDHA PRASAD M.D.S.C.

Practice Location:
Tel: 214-546-4868  Fax: --

Business Mailing Address:
Tel: --  Fax: --


PrimaryCodeCategory/DescriptionStateLicense Number
Allergy & Immunology

Other Provider Identifiers:

Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin

JOBS IL - Page 1

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