Individual
PRASAD BALKRISHNA BICHU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1000 DUTCH RIDGE RD, BEAVER, PA 15009-9727
(724) 773-1941
(724) 773-8370
Mailing address
1000 DUTCH RIDGE RD, BEAVER, PA 15009-9727
(724) 773-1941
(724) 773-8370
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
2010015537
MO
207RN0300X
Nephrology Physician
Primary
MD454185
PA
2080P0210X
Pediatric Nephrology Physician
2010015537
MO
Other
Enumeration date
09/01/2006
Last updated
08/05/2016
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