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Individual

DR. SRINIVAS KASINADHUNI PRASAD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
909 WALNUT ST FL 2, PHILADELPHIA, PA 19107-5211
(215) 955-7000
(215) 503-7007
Mailing address
909 WALNUT ST FL 2, PHILADELPHIA, PA 19107-5211
(215) 955-7000
(215) 503-7007

Taxonomy

Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
2006018983
MO
207T00000X
Neurological Surgery Physician
25MA08698500
NJ
207T00000X
Neurological Surgery Physician
Primary
MD437909
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0208876
NJ
05
102374209
PA
Enumeration date
12/20/2006
Last updated
12/06/2018
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