Individual
KAPILDEV PRASAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAAA
Contact information
Practice address
1000 MEDICAL CENTER BLVD, LAWRENCEVILLE, GA 30046-0000
(770) 277-3056
(855) 204-5244
Mailing address
PO BOX 551420, FORT LAUDERDALE, FL 33355-1420
(800) 243-3839
(954) 839-2569
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
005687
GA
367H00000X
Anesthesiologist Assistant
1929
GA
367H00000X
Anesthesiologist Assistant
5687
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
609965779A
—
GA
Enumeration date
09/24/2009
Last updated
06/15/2026
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