Individual
NIRAJ KISHORE PRASAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
608 NW 9TH ST, SUITE 2200, OKLAHOMA CITY, OK 73102-1068
(405) 231-3737
(405) 272-6144
Mailing address
608 NW 9TH ST, SUITE 2200, OKLAHOMA CITY, OK 73102-1068
(405) 231-3737
(405) 272-6144
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
21035
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100058130A
—
OK
Enumeration date
07/28/2006
Last updated
10/22/2020
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