Individual
DR. RAVI SHANKAR PRASAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8700 BEVERLY BLVD, WEST HOLLYWOOD, CA 90048-1804
(310) 423-6500
Mailing address
PO BOX 4313, WOODLAND HILLS, CA 91365-4313
(805) 375-8800
(805) 375-8900
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
238964-1
NY
2085N0700X
Neuroradiology Physician
Primary
A102976
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A102976
STATE LICENSE NUMBER
CA
Enumeration date
02/21/2007
Last updated
07/02/2025
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