Healthcare Provider Details

I. General information

NPI: 1194720847
Provider Name (Legal Business Name): PRASAD K. CHODE MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/18/2005
Last Update Date: 08/31/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8255 FIRESTONE BLVD STE 501
DOWNEY CA
90241-4857
US

IV. Provider business mailing address

8255 FIRESTONE BLVD STE 501
DOWNEY CA
90241-4857
US

V. Phone/Fax

Practice location:
  • Phone: 562-319-2085
  • Fax: 562-923-7112
Mailing address:
  • Phone: 562-319-2085
  • Fax: 562-923-7112

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberA50528
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: