Individual
DR. VIKRAM PRASAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
500 W THOMAS RD STE 850, PHOENIX, AZ 85013-4218
(602) 406-1150
(602) 406-1159
Mailing address
PO BOX 33269, PHOENIX, AZ 85067-3269
(602) 406-4786
(916) 636-4358
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
66188
AZ
207R00000X
Internal Medicine Physician
Primary
MD460174
PA
207R00000X
Internal Medicine Physician
MT206375
PA
207RC0000X
Cardiovascular Disease Physician
66188
AZ
207RI0011X
Interventional Cardiology Physician
Primary
66188
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
133400
—
AZ
Enumeration date
06/09/2014
Last updated
04/15/2026
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