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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 Specialty Code Provider Type

Geriatric Medicine

207QG0300X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for RAGHAVENDRA S PRASAD · (Male)

NPI Number 1700800661
Status Active
Credentials MD
Entity Individual
Enumeration date 07/26/2006
Last updated 05/19/2008 - About 18 years ago
Sole proprietor 1 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(s) Not Available
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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