Individual
DR. PREMA PRASAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3175 ROUTE 10, SUITE 500, DENVILLE, NJ 07834-3491
(973) 537-1400
(973) 366-1648
Mailing address
400 ROUTE 10, RANDOLPH, NJ 07869-2104
(973) 891-1321
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MA06191400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0857907000
AMERIHEALTH
NJ
01
—
1786357
PHCS
NJ
01
—
200442873
GREATHEALTH
NJ
01
—
5917459
AETNA
NJ
05
—
7163304
—
NJ
01
—
P679666
OXFORD
NJ
Enumeration date
06/22/2006
Last updated
01/18/2021
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