Individual
KRISHNA R PRASAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
36500 AURORA DR, SUMMIT, WI 53066-4899
(262) 434-1900
(262) 434-1901
Mailing address
36500 AURORA DR, SUMMIT, WI 53066-4899
(262) 434-1900
(262) 434-1901
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
29749-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31453500
—
WI
Enumeration date
12/19/2005
Last updated
01/10/2022
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