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Contact Information

KRISHNAPPA A PRASAD, MD
11219 FINANCIAL CENTRE PKWY STE 240
LITTLE ROCK, AR72211-3859
 Phone: 501-725-0830
 Fax: 501-725-0825
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pain Medicine

2081P2900X 25 Physician/Physical Medicine and Rehabilitation
 

Physical Medicine & Rehabilitation

208100000X 25 Physician/Physical Medicine and Rehabilitation
Indicates primary specialty

NPI Profile & details for KRISHNAPPA A PRASAD · (Male)

NPI # 1619060589
Status Active
Credentials MD
Entity Individual
Enumeration date 10/02/2006
Last updated 05/14/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • AR License # E-7025
  • FL License # ME107678
  • MO License # 2008015437
  • NH License # 13076
  • TX License # M6833
  • AR Medicaid 188837001
  • MO Medicaid 1619060589
  • MO Other 7740894 AETNA
  • MO Other 627562/632335/634595 BC/BS
  • MO Other 353230 GHP
  • MO Other 937401 HEALTHLINK
  • MO Other 664774 MERCY
Hospital affiliation(s)
  • BAPTIST HEALTH MEDICAL CENTER NORTH LITTLE ROCK - (Acute Care)
    3333 SPRINGHILL DRIVE
    NORTH LITTLE ROCK, AR 72117
  • BAPTIST HEALTH MEDICAL CENTER-LITTLE ROCK - (Acute Care)
    9601 INTERSTATE 630, EXIT 7
    LITTLE ROCK, AR 72205
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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