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NPI Code Detail

MEDICARE: DR. VIKRAM PRASAD M.D.

MEDICARE:  DR. VIKRAM  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
1207R00000XInternal Medicine Physician66188AZ
2207RC0000XCardiovascular Disease Physician66188AZ
3207RI0011XInterventional Cardiology Physician66188AZ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1740693548
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. VIKRAM PRASAD M.D.
Provider Business Mailing Address
First Line : PO BOX 33269
Second Line :
City : PHOENIX
State : AZ
Zip : 85067-3269
Country : US
Telephone Number : 602-406-4786
Fax Number :
Provider Business Practice Location Address
First Line : 500 W THOMAS RD STE 850
Second Line :
City : PHOENIX
State : AZ
Zip : 85013-4218
Country : US
Telephone Number : 602-406-1150
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/09/2014
Last Update Date : 03/17/2026

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Directions to “ DR. VIKRAM PRASAD M.D.” Practice Location

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