Individual
NANDAN PRASAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1020 SANSOM ST STE 239, PHILADELPHIA, PA 19107-5002
(215) 955-6844
(215) 955-2526
Mailing address
111 S 11TH ST, PHILADELPHIA, PA 19107-4824
(215) 955-9837
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD464382
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/06/2015
Last updated
04/02/2019
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