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Organization

NIRAJ K. PRASAD, M.D., P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
NIRAJ K PRASAD M.D. (OWNER)
(405) 272-6300
Entity
Organization

Contact information

Practice address
608 NW 9TH ST, SUITE 4000, OKLAHOMA CITY, OK 73102-1068
(405) 272-6300
(405) 231-8745
Mailing address
608 NW 9TH ST, SUITE 4000, OKLAHOMA CITY, OK 73102-1068
(405) 272-6300
(405) 231-8745

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
21035
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
OKB5974
MEDICARE PTAN
OK
Enumeration date
02/03/2010
Last updated
11/04/2010
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