Individual
DR. PRASHANT VAISHNAVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
177 FORT WASHINGTON AVE, NEW YORK, NY 10032-3733
(212) 342-0619
(212) 305-6307
Mailing address
630 W 168TH ST # 4, NEW YORK, NY 10032-3725
(212) 342-0619
(212) 305-6307
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
225292
MA
207RC0000X
Cardiovascular Disease Physician
Primary
253971
NY
207RC0000X
Cardiovascular Disease Physician
4301100294
MI
Other
Enumeration date
01/12/2007
Last updated
05/06/2021
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