Individual
DR. NIROPA PRASAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
3402 13TH AVE S, SUITE D, FARGO, ND 58103
(701) 234-0939
(701) 234-9442
Mailing address
3402 13TH AVE S, SUITE D, FARGO, ND 58103
(701) 234-0939
(701) 234-9442
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
484
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14202
BLUE SHIELD OF ND PIN
ND
01
—
5C646PR
BLUE SHIELD OF MN PIN
MN
Enumeration date
01/09/2007
Last updated
07/08/2007
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