Individual
SUDHIR PRASADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
901 N WINSTEAD AVE, ROCKY MOUNT, NC 27804-8467
(252) 937-0229
(252) 937-3109
Mailing address
PO BOX 7200, ROCKY MOUNT, NC 27804-0200
(252) 937-0200
(252) 451-0056
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
36803
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
60027798
RAILROAD MEDICARE
ND
01
—
69028
BCBSNC
ND
01
—
69976
MEDCOST
NC
05
—
7969028
—
NC
01
—
9782566
CIGNA HEALTHCARE
NC
Enumeration date
09/07/2005
Last updated
03/30/2015
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