Individual
DR. SHISHIR C PRASAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD FACS
Contact information
Practice address
14 CAREY LN, PITTSTON, PA 18640-3224
(570) 654-2550
Mailing address
14 CAREY LN, PITTSTON, PA 18640-3224
(570) 654-2550
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD033494L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0006086470005
—
PA
Enumeration date
10/04/2005
Last updated
02/07/2013
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