Healthcare Provider Details

I. General information

NPI: 1265352348
Provider Name (Legal Business Name): THE-PRASADA LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/17/2026
Last Update Date: 07/17/2026
Certification Date: 07/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2986 S ROCA ST
GILBERT AZ
85295-1717
US

IV. Provider business mailing address

2986 S ROCA ST
GILBERT AZ
85295-1717
US

V. Phone/Fax

Practice location:
  • Phone: 602-466-8352
  • Fax: 602-300-3650
Mailing address:
  • Phone: 602-466-8352
  • Fax: 602-300-3650

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: SANDHIR MAHARAJ
Title or Position: OWNER
Credential: NP
Phone: 602-466-8352