Individual
RUCHI PRASAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
201 E UNIVERSITY PKWY, BALTIMORE, MD 21218-2829
(410) 554-4393
Mailing address
201 E UNIVERSITY PKWY, SUITE 405, 33RD STREET BUILDING, BALTIMORE, MD 21218-2829
(410) 554-4393
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D0080012
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D0080012
MARYLAND BOARD OF PHYSICIANS
MD
Enumeration date
07/03/2012
Last updated
09/29/2016
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