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Individual

DR. PRASAD P PRAYAGA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
7710 MERCY ROAD, SUITE 202, CU DEPARTMENT OF INTERNAL MEDICINE, OMAHA, NE 68124-2353
(402) 280-4392
Mailing address
7710 MERCY ROAD, SUITE 202, CU DEPARTMENT OF INTERNAL MEDICINE, OMAHA, NE 68124-2353
(402) 280-4392

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
TEP9056
NE
208M00000X
Hospitalist Physician
ME175757
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
127931000
FL
Enumeration date
08/07/2021
Last updated
08/21/2025
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