Individual
VIJAY KISHORE PRASAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2 SHARPE ST, KINGSTON, PA 18704-3715
(570) 491-0126
Mailing address
PO BOX 858, MC A410, HERSHEY, PA 17033-0858
(800) 243-1455
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD422321
PA
Other
Enumeration date
04/04/2006
Last updated
12/11/2020
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