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Individual

DR. PRASAD V GADE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
520 MARY ST STE 520, EVANSVILLE, IN 47710-1682
(812) 424-8231
(812) 435-8794
Mailing address
520 MARY ST, SUITE 520, EVANSVILLE, IN 47710-1682
(812) 424-8231
(812) 435-8794

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
03/05/2024
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