Organization
PRASAD MEDICAL PHYSICIAN P.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANKINEEDU PRASAD MD (DIRECTOR)
(516) 806-8244
Entity
Organization
Contact information
Practice address
894 EASTERN PKWY, BROOKLYN, NY 11213-3618
(516) 450-0701
(516) 822-3067
Mailing address
12 NORTHUMBERLAND RD, JERICHO, NY 11753-2615
(516) 450-0701
(516) 822-3067
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Enumeration date
11/18/2019
Last updated
11/18/2019
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