Individual
DR. PRAVEEN CHANDRA PRASAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1000 73RD ST STE 17, WEST DES MOINES, IA 50265-1321
(515) 223-2383
(515) 225-8679
Mailing address
1000 73RD ST STE 17, WEST DES MOINES, IA 50265-1321
(515) 223-2383
(515) 225-8679
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
30165
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1118091
—
IA
Enumeration date
07/01/2005
Last updated
06/04/2024
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