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Individual

PRASAD JAWAHAR SAWARDEKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3000 32ND AVE S, FARGO, ND 58103-6132
(701) 364-8000
(701) 364-8078
Mailing address
PO BOX 6001, FARGO, ND 58108-6001
(701) 364-8000
(701) 364-8078

Taxonomy

Speciality
Code
Description
License number
State
2086S0105X
Surgery of the Hand (Surgery) Physician
Primary
12465
ND
390200000X
Student in an Organized Health Care Education/Training Program
TRN9862
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
17137
ND
Enumeration date
05/30/2007
Last updated
12/10/2012
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