Individual
DR. PRASAD CHALASANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1400 AVENUE OF THE AMERICAS, SUITE 1103, NEW YORK, NY 10019-2501
(877) 870-4590
(718) 237-8938
Mailing address
1400 AVENUE OF THE AMERICAS, SUITE 1103, NEW YORK, NY 10019-2501
(877) 870-4590
(718) 237-8938
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
111694
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00201583
—
NY
Enumeration date
11/17/2006
Last updated
07/08/2007
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