Individual
DR. SAKET PRASAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1001 E 2ND ST, COUDERSPORT, PA 16915-8161
(814) 274-9024
Mailing address
9 RENEE CT, EDISON, NJ 08820-3634
(732) 494-0964
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
25MA065209000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
142838JT3
MEDICARE ID
PA
05
—
7959508
—
NJ
Enumeration date
08/18/2006
Last updated
04/02/2021
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