MEDICARE: DR. VINOD PRASAD MD, MPH

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
1	207RN0300X	Nephrology Physician	Q3576	TX
2	207RN0300X	Nephrology Physician	31742	OK
3	207RN0300X	Nephrology Physician	ME98208	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	Q3576	OTHER	TX	LICENSE
2	8FG756	OTHER	TX	BCBS
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1184841603
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. VINOD PRASAD MD, MPH

Provider Business Mailing Address
First Line	:	2741 FM 691
Second Line	:
City	:	DENISON
State	:	TX
Zip	:	75020
Country	:	US
Telephone Number	:	903-893-7170
Fax Number	:	903-893-4372

Provider Business Practice Location Address
First Line	:	2741 FM 691
Second Line	:
City	:	DENISON
State	:	TX
Zip	:	75020
Country	:	US
Telephone Number	:	903-893-7170
Fax Number	:	903-893-4372

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/18/2007
Last Update Date	:	01/13/2026

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