Individual
ASHA SHAH PRASAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3490 PLEASANT HILL RD, DULUTH, GA 30096
(770) 814-2870
(770) 814-2872
Mailing address
10600 MEDLOCK BRIDGE RD, DULUTH, GA 30097-8404
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
65494
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003113236
—
GA
Enumeration date
05/29/2008
Last updated
01/14/2023
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