| Dr Sushil Prabakaran Anand, MD | |
|
1175 E Arrow Hwy Ste M, Upland, CA 91786-5525 | |
| (909) 481-2494 | |
| (909) 983-9766 |
| Full Name | Dr Sushil Prabakaran Anand |
|---|---|
| Gender | Male |
| Speciality | General Practice |
| Location | 1175 E Arrow Hwy Ste M, Upland, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548444250 | NPI | - | NPPES |
| 13978 | Other | NV | LICENSE |
| A110593 | Other | CA | CALIFORNIA MEDICAL BOARD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 13978 (Nevada) | Secondary |
| 208D00000X | General Practice | A110593 (California) | Primary |
| Entity Name | Childrens Hospital Los Angeles Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265530653 PECOS PAC ID: 0143126920 Enrollment ID: O20031211000522 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Sushil Prabakaran Anand, MD 1175 E Arrow Hwy Ste M, Upland, CA 91786-5525 Ph: (909) 481-2494 | Dr Sushil Prabakaran Anand, MD 1175 E Arrow Hwy Ste M, Upland, CA 91786-5525 Ph: (909) 481-2494 |
Wendy Karina Barreto Ii, General Practice Medicare: Not Enrolled in Medicare Practice Location: 999 San Bernardino Rd, Upland, CA 91786 Phone: 909-781-9042 | |
Douglas J Beseth, M.D. General Practice Medicare: Not Enrolled in Medicare Practice Location: 999 San Bernardino Rd, Upland, CA 91786 Phone: 909-908-5086 | |
Lisa Jo Brown, FNP-C General Practice Medicare: Medicare Enrolled Practice Location: 440 N Mountain Ave Ste 103, Upland, CA 91786 Phone: 888-777-1945 Fax: 805-413-9099 |