Individual
SRINIVASA PRASAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1400 PRESSLER ST, MD ANDERSON CANCER CENTER, HOUSTON, TX 77030-3722
(713) 792-4487
(713) 794-4379
Mailing address
1400 PRESSLER ST, MD ANDERSON CANCER CENTER, HOUSTON, TX 77030-3722
(713) 792-4487
(713) 794-4379
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
M7533
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
158972301
CIDC
TX
05
—
158972302
—
TX
Enumeration date
08/08/2006
Last updated
01/13/2012
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