Individual
MAHADEVAPPA M PRASAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1651 N MAIN STREET EXT, BUTLER, PA 16001-1512
(724) 282-8089
Mailing address
1651 N MAIN STREET EXT, BUTLER, PA 16001-1512
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
MD038750L
PA
Other
Enumeration date
08/28/2006
Last updated
07/08/2007
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