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SUDHA PRASAD M.D.S.C.

Allergy

Springfield, Illinois

Provider NPI: 1235186958

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


Practice Location:
901 S KOKE MILL RD  SPRINGFIELD, IL 62711 US
Tel: 214-546-4868  Fax: --

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


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207KA0200XPhysicians
Allergy & Immunology
Allergy
IL

Other Provider Identifiers:

IssuerNumberStateType
HEALTH ALLIANCE028472IL01
BLUECROSS BLUESHIELD08405082IL01
GHP114404IL01
HEALTHLINK131837IL01
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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