Organization Active NPI

Anil Sudnaganta Prasad PLLC

Doing business as Michigan Home Physicians

  • General Practice Physician
  • Sylvania, OH
National Provider Identifier
1053508093
Registry record updated Oct 3, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
4301087082 Issued in MI
Legal business name
ANIL SUDNAGANTA PRASAD PLLC
Doing business as
Michigan Home Physicians
Practice address
5659 Breezebay Drive
Sylvania, OH 43560
Phone
(419) 882-6545
Fax
(419) 882-6545
NPI assigned
Oct 3, 2007
Last updated
Oct 3, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Anil Sudnaganta Prasad, M.D.NPI 1376667337
Title
Owner
Phone
(419) 882-6545

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 4301087082 MI Primary

Addresses

Primary practice location

5659 Breezebay Drive
Sylvania, OH 43560

Mailing address

5659 Breezebay Drive
Sylvania, OH 43560
Phone (419) 882-6545

Other names 1

  • Michigan Home Physicians Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1191369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191369600000",
    "number": "1053508093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5659 BREEZEBAY DRIVE",
            "city": "SYLVANIA",
            "state": "OH",
            "postal_code": "43560",
            "telephone_number": "419-882-6545",
            "fax_number": "419-882-6545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5659 BREEZEBAY DRIVE",
            "city": "SYLVANIA",
            "state": "OH",
            "postal_code": "43560",
            "telephone_number": "419-882-6545",
            "fax_number": "419-882-6545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANIL SUDNAGANTA PRASAD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-03",
        "last_updated": "2007-10-03",
        "status": "A",
        "authorized_official_last_name": "PRASAD",
        "authorized_official_first_name": "ANIL",
        "authorized_official_middle_name": "SUDNAGANTA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "419-882-6545",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "MI",
            "license": "4301087082",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Michigan Home Physicians",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sylvania, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.