Individual
DR. KAMLA K PRASAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3600 JOSEPH SIEWICK DR, FAIRFAX, VA 22033-1709
(703) 391-3129
(703) 295-9369
Mailing address
PO BOX 37090, BALTIMORE, MD 21297-3090
(703) 295-9360
(703) 295-9369
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
0101051333
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
091770
ANTHEM
VA
01
—
1068356
WORKMAN'S COMPENSATION
WV
05
—
1770681660
—
VA
01
—
292878
AMERIGROUP
VA
01
—
4526-2564
CARE FIRST
VA
01
—
493817
NCPPO
VA
01
—
K142-0001
CARE FIRST 2005
VA
Enumeration date
09/21/2006
Last updated
09/09/2008
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