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Individual
VIJAY PRASAD
Active
Individual
VIJAY PRASAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
25MA11878500
NJ
2080H0002X
Pediatric Hospice and Palliative Medicine Physician
134300
CA
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
A134300
CA
Other
Enumeration date
03/04/2015
Last updated
02/05/2024
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