Individual
DR. SHASHANK SHEKHAR PRASAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.B.B.S.
Contact information
Practice address
5323 HARRY HINES BLVD, DALLAS, TX 75390-3320
(214) 456-4036
Mailing address
PO BOX 845347, DALLAS, TX 75284-5347
Taxonomy
Speciality
Code
Description
License number
State
2085P0229X
Pediatric Radiology Physician
Primary
P4370
TX
2085R0202X
Diagnostic Radiology Physician
P4370
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
326758501/02CSN
—
TX
Enumeration date
09/19/2008
Last updated
07/20/2022
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