MEDICARE: ANAND PRAKASH, M.D., INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084N0400X	Neurology Physician	A26623	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1841345162
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ANAND PRAKASH, M.D., INC.

Provider Business Mailing Address
First Line	:	3975 JACKSON STREET
Second Line	:	SUITE #105
City	:	RIVERSIDE
State	:	CA
Zip	:	92503-3945
Country	:	US
Telephone Number	:	951-359-6030
Fax Number	:	951-359-6032

Provider Business Practice Location Address
First Line	:	3975 JACKSON STREET
Second Line	:	SUITE #105
City	:	RIVERSIDE
State	:	CA
Zip	:	92503-3945
Country	:	US
Telephone Number	:	951-359-6030
Fax Number	:	951-359-6032

Authorized Official
Title or Position	:	DOCTOR/OWNER
Name	:	DR. ANAND PRAKASH
Credential	:	M.D.
Telephone Number	:	951-359-6030

Provider Enumeration Date	:	01/25/2007
Last Update Date	:	02/04/2011

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