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Individual
DR. PRASAD V GADE
Active
Individual
DR. PRASAD V GADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
01053157A
IN
2086S0129X
Vascular Surgery Physician
Primary
01053157A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000174869
ANTHEM BLUE CROSS/SHIELD
IN
01
—
01053157
INDIANA STATE LICENSE
IN
05
—
200303060
—
IN
01
—
36733
KY LICENSE
KY
05
—
64013089
—
KY
01
—
A53043
CALIFORNIA LICENSE
CA
Enumeration date
07/21/2005
Last updated
09/29/2026
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