Individual
RAJENDRA PRASAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3650 SOUTH ST STE 212, LAKEWOOD, CA 90712-1528
(562) 272-7632
(562) 272-7631
Mailing address
3650 SOUTH ST STE 212, LAKEWOOD, CA 90712-1528
(562) 272-7632
(562) 272-7631
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
A25178
CA
207RH0000X
Hematology (Internal Medicine) Physician
A25178
CA
207RX0202X
Medical Oncology Physician
Primary
A25178
CA
Other
Enumeration date
04/12/2007
Last updated
01/16/2019
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