Individual
DR. PRATHIMA RAMAPRASAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1200 E 3900 S, SOUTH SALT LAKE CITY, SALT LAKE CITY, UT 84124-1300
(801) 809-0641
Mailing address
PO BOX 741073, LOS ANGELES, CA 90074-1073
(844) 207-4039
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
799754-1205
UT
208M00000X
Hospitalist Physician
799754-1205
UT
208M00000X
Hospitalist Physician
MD2018-0878
NM
Other
Enumeration date
09/07/2011
Last updated
11/02/2018
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