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NPI Code Detail

MEDICARE: SRINIVASA PRASAD M.D.

MEDICARE:   SRINIVASA  PRASAD  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12085R0202XDiagnostic Radiology PhysicianM7533TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1158972301OTHERTXCIDC
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1376553156
Entity Type Code : Individual
Provider Name (Legal Business Name) : SRINIVASA PRASAD M.D.
Provider Business Mailing Address
First Line : 1400 PRESSLER ST
Second Line : MD ANDERSON CANCER CENTER
City : HOUSTON
State : TX
Zip : 77030-3722
Country : US
Telephone Number : 713-792-4487
Fax Number : 713-794-4379
Provider Business Practice Location Address
First Line : 1400 PRESSLER ST
Second Line : MD ANDERSON CANCER CENTER
City : HOUSTON
State : TX
Zip : 77030-3722
Country : US
Telephone Number : 713-792-4487
Fax Number : 713-794-4379
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/08/2006
Last Update Date : 01/13/2012

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Directions to “ SRINIVASA PRASAD M.D.” Practice Location

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