Active NPIIndividual providerSole proprietor

Dr. Indra D Prasad, MD

Specialist in East Orange, New Jersey

NPI Number1861490377
Practice location
85 S Harrison St, 203, East Orange, NJ 07018-1700
Fax
973-395-1030
Last updated
March 23, 2011

Indra Deo Prasad is a Specialist based in East Orange, NJ. Indra Deo Prasad practices in East Orange, NJ and has the professional credentials of MD. The NPI Number for Indra Deo Prasad is 1861490377 and holds a License No. 25MA06733900 (NJ). The current practice location address for Indra Deo Prasad is 85 S Harrison St, 203, East Orange, NJ 07018-1700 and can be reached out via phone at 973-395-1020 and via fax at 973-395-1030.

Provider Profile Details

NPI Number
1861490377
Provider Name
Indra Deo Prasad
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
85 S Harrison St, 203, East Orange, NJ 07018-1700
Phone Number
973-395-1020
Fax Number
973-395-1030
Primary Taxonomy
Specialist · 174400000X
Sole Proprietor
Yes
Provider Enumeration Date
July 8, 2005
Last Update Date
March 23, 2011
NPI Status
Active

Provider Business Practice Location Address Details

Address
85 S Harrison St
203
East Orange, NJ 07018-1700
Zip
07018-1700
Phone Number
973-395-1020
Fax Number
973-395-1030
East Orange, NJ 07018Get directions →

Provider Business Mailing Address Details

Address
85 S Harrison St
203
East Orange, NJ 07018-1700
City
East Orange
State
NJ
Zip
07018-1700
Phone Number
973-395-1020
Fax Number
973-395-1030

License Information

License Number
25MA06733900
License State
NJ
Taxonomy
Specialist · 174400000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Indra D Prasad, MD?

The NPI number of Dr. Indra D Prasad, MD is 1861490377. It was assigned on July 8, 2005 and is currently active in the NPPES registry.

What is the specialty of Dr. Indra D Prasad, MD?

Dr. Indra D Prasad, MD is registered under the primary taxonomy Specialist (code 174400000X), licensed in NJ under license number 25MA06733900.

Where does Dr. Indra D Prasad, MD practice?

The practice location is 85 S Harrison St, 203, East Orange, NJ 07018-1700. The office can be reached at 973-395-1020 (phone) or 973-395-1030 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1861490377 directly on the NPPES registry website.

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