Organization
GARNEPUDI V PRASAD MD PA
Active
Other names
GV PRASAD MD
Organization subpart
No
Provider details
NPI number
Authorized official
IMELDA A THOMAS (BILLING MANAGER)
(281) 587-1141
Entity
Organization
Contact information
Practice address
110 E CROCKETT ST, CLEVELAND, TX 77327-4044
(281) 592-1515
(281) 592-3807
Mailing address
110 E CROCKETT ST, CLEVELAND, TX 77327-4044
(281) 592-1515
(281) 592-3807
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
G4194
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0038RB
BCBS GROUP
TX
05
—
138487709
—
TX
01
—
25-00601
EVERCARE
TX
01
—
4516368
BRAVO HEALTH
TX
Enumeration date
01/12/2009
Last updated
03/11/2009
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