Individual
SUDHIR PRASADA
Active
Individual
SUDHIR PRASADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
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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