Individual ProviderAnand Neil ShivaprasadStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice Address1313 E Herndon Ave, Fresno, CA 93720-3306(559) 450-5375PECOS EnrollmentBased on the most recent information from CMS, provider Anand Neil Shivaprasad does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1639798507Provider TypeIndividualFull NameShivaprasad, Anand NeilCredentialDOGenderMaleSole ProprietorNoEnumeration Date4/10/2020Last Updated4/10/2020Contact InformationPractice LocationPractice Address1313 E Herndon Ave, Fresno, CA 93720-3306Phone(559) 450-5375FaxUnlisted FaxMailing LocationMailing Address1313 E Herndon Ave, Fresno, CA 93720-3306PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer