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Contact Information

SURESH PRASAD MD PA
601 E 2ND SUITE A
ODESSA, TX79761
 Phone: 432-332-3400
 Fax: 432-332-6500
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for SURESH PRASAD MD PA

NPI Number 1114012283
LBN Legal business name SURESH PRASAD MD PA
Authorized official SURESH PRASAD - (PHYSICIAN)
Entity Organization
Organization subpart 1 No
Enumeration date 10/04/2006
Last updated 09/24/2007 - About 19 years ago
Identifiers
TX License # K8430
TX Other 0078LW BLUE CROSS BLUE SHIELD
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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