Individual
VARSHA PRASAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1250 16TH ST, SANTA MONICA, CA 90404-1249
(310) 319-4698
(310) 319-4908
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
20A20833
CA
208M00000X
Hospitalist Physician
036174928
IL
208M00000X
Hospitalist Physician
Primary
20A20833
CA
Other
Enumeration date
04/26/2020
Last updated
05/13/2025
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