Individual
RENUKA N PRASAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
212 S MAIN ST, SUITE 3, DANVILLE, VA 24541-2924
(434) 799-9020
(434) 799-3451
Mailing address
212 S MAIN ST, SUITE 3, DANVILLE, VA 24541-2924
(434) 799-9020
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
010131374
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007191103
—
VA
Enumeration date
03/21/2006
Last updated
08/04/2008
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