Individual
AMIT A PRASAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
500 UNIVERSITY DR, HERSHEY, PA 17033-2360
(717) 531-8521
Mailing address
PO BOX 858, MC A410, HERSHEY, PA 17033-0858
(800) 243-1455
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD448351
PA
207L00000X
Anesthesiology Physician
MT195549
PA
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
MD448351
PA
207LP2900X
Pain Medicine (Anesthesiology) Physician
MD448351
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1028291300002
—
PA
01
—
297642
MEDICARE PTAN
PA
Enumeration date
06/03/2009
Last updated
03/08/2017
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