Individual
DR. SHAILENDRA PRASAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1020 W BROADWAY, MINNEAPOLIS, MN 55411
(612) 302-8200
Mailing address
720 WASHINGTON AVE SE, UNIVERSITY OF MINNESOTA PHYSICIANS, MINNEAPOLIS, MN 55414
(612) 884-0649
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
49591
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00120990
—
MS
Enumeration date
07/25/2006
Last updated
02/20/2013
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