National Provider Identifier Database

RAGHAVENDRA S PRASAD, MD – NPI #1700800661
Geriatric Medicine

A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.


Contact Information

RAGHAVENDRA S PRASAD, MD
445 E FM 1382 #3354
CEDAR HILL, TX75104
Phone: 214-325-1969
Fax: 972-291-0019
Website:
Specialty Taxonomy Code
* Geriatric Medicine 207QG0300X

* Indicates primary specialty

NPI Profile & details for RAGHAVENDRA S PRASAD

NPI Number 1700800661
Credentials MD
Entity Individual
Enumeration date 07/26/2006
Last updated 05/19/2008 - About 18 years ago
Sole proprietor1 No
Identifiers
  • TX License #: J6213
  • TX Medicaid: 132640710
  • TX Medicaid: 148776102
  • TX Medicaid: 148776103
  • TX Other: 8F7027 INDIVIDUAL PTAN #/ ELLIS & COLLINS COUNTY
  • TX Other: 8F7028 INDIVIDUAL PTAN #/ TARRANT COUNTY
  • TX Other: 8F7018 INDIVIDUAL PTAN/ DALLAS COUNTY
Hospital affiliation n/a

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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