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Individual

YOGENDRA PRASAD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
613 23RD ST STE 230, ASHLAND, KY 41101-2868
(606) 324-4745
(606) 324-4941
Mailing address
PO BOX 2379, ASHLAND, KY 41105-2379
(606) 408-6061

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
35.092635
OH
207RC0000X
Cardiovascular Disease Physician
Primary
38557
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000560565
ANTHEM BCBS
KY
01
000000598144
ANTHEM BCBS
KY
01
000000598313
ANTHEM BCBS
KY
01
000000609830
ANTHEM BCBS
KY
05
2821290
OH
05
64081102
KY
Enumeration date
06/16/2005
Last updated
04/25/2022
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