Individual
DR. KEDAR CHE PRASAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
250 BON AIR RD, GREENBRAE, CA 94904
(415) 925-7174
(415) 898-0870
Mailing address
1615 HILL RD, STE B, NOVATO, CA 94947
(415) 898-7649
(415) 898-0817
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
A67149
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A671490
—
CA
Enumeration date
08/25/2006
Last updated
07/08/2007
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