Individual
SANJAY PRASHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2301 ROBESON ST, SUITE 301, FAYETTEVILLE, NC 28305-5640
(910) 484-4100
(910) 484-4179
Mailing address
2301 ROBESON ST, SUITE 301, FAYETTEVILLE, NC 28305-5640
(910) 484-4100
(910) 484-4179
Taxonomy
Speciality
Code
Description
License number
State
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
200301160
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89135R3
—
NC
01
—
P00074543
RAIL ROAD MEDICARE
NC
Enumeration date
08/02/2005
Last updated
01/28/2011
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