Healthcare Provider Details

I. General information

NPI: 1649406281
Provider Name (Legal Business Name): ANAND PRAKASH M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/10/2009
Last Update Date: 08/15/2025
Certification Date: 08/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1105 CENTRAL EXPY N STE 360
ALLEN TX
75013-6111
US

IV. Provider business mailing address

3001 S HARDIN BLVD STE 110-202
MCKINNEY TX
75070-7736
US

V. Phone/Fax

Practice location:
  • Phone: 727-476-0429
  • Fax: 972-747-6043
Mailing address:
  • Phone: 469-797-7711
  • Fax: 214-491-5750

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberMD31994
License Number StateAL
# 2
Primary TaxonomyN
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License NumberS9974
License Number StateTX
# 3
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License NumberMD31994
License Number StateAL
# 4
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberS9974
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: