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Contact Information

SUDHA R PRASAD, MD
3836 PARK AVE
MEMPHIS, TN38111-6633
 Phone: 901-324-3984
 Fax: 901-454-1655
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for SUDHA R PRASAD · (Female)

NPI # 1013083781
Status Active
Credentials MD
Entity Individual
Enumeration date 11/27/2006
Last updated 03/22/2013 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • TN License # 12949
  • TN Medicaid 3183447
  • TN Other 25923 BLUE CROSS BLUE SHIELD
Hospital affiliation(s)
  • BAPTIST MEMORIAL HOSPITAL - (Acute Care)
    6019 WALNUT GROVE ROAD
    MEMPHIS, TN 38120
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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