Individual
KAVITA PRASAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
343 WOODLAKE DR SE, ROCHESTER, MN 55904-6242
(507) 289-2089
Mailing address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-2511
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
42721
MN
207R00000X
Internal Medicine Physician
Primary
42721
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
443972400
—
MN
05
—
ENROLLED
—
MN
Enumeration date
04/06/2007
Last updated
02/15/2021
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