Individual
NIYATHI PRASAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1800 ORLEANS ST, BALTIMORE, MD 21287-0010
(706) 399-2985
Mailing address
2421 FAIT AVE, BALTIMORE, MD 21224-3619
(706) 399-2985
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/29/2021
Last updated
06/29/2021
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