Individual
DR. KAMIL PRASAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
65 JAMES ST, EDISON, NJ 08820-3947
(732) 321-7487
Mailing address
PO BOX 26666, PHS PROVIDER ENROLLMENT, ALBUQUERQUE, NM 87125-6666
(505) 923-6770
(505) 923-5354
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD2017-0079
NM
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/10/2017
Last updated
06/28/2017
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