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NPI Code Detail

MEDICARE: DR. KALPANA R PRASAD MD

MEDICARE: DR. KALPANA R PRASAD MD
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
12084P0800XPsychiatry PhysicianMD072673LPA
22084P0800XPsychiatry Physician74760GA

General Provider Information

NPI Number : 1346371622
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KALPANA R PRASAD MD
Provider Business Mailing Address
First Line : PO BOX 742616
Second Line :
City : ATLANTA
State : GA
Zip : 30374-2616
Country : US
Telephone Number : 770-219-8420
Fax Number :
Provider Business Practice Location Address
First Line : 200 WISTERIA DR
Second Line :
City : GAINESVILLE
State : GA
Zip : 30501-3827
Country : US
Telephone Number : 770-219-5407
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/08/2007
Last Update Date : 02/15/2021

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Directions to “ DR. KALPANA R PRASAD MD” Practice Location

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