NPI 1659313120 · live from the CMS NPI Registry
Prasad R Ancha, M.D.
Psychiatry & Neurology, Neurology in Summerfield, FL. National Provider Identifier 1659313120, active.
NPI record
| NPI | 1659313120 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychiatry & Neurology, Neurology 2084N0400X |
| Practice location | 10250 Se 167th Place Rd Unit 5, Summerfield, FL 34491 |
| Practice phone | 352-307-9925 |
| Mailing address | 10250 Se 167th Place Rd, Suite 5-1, Summerfield, FL 34491 |
| Enumerated | June 11, 2006 |
| Last updated | January 11, 2018 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatry & Neurology, Neurology primary | 2084N0400X | ME120916 (FL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.