MEDICARE: AKSA PRASAD PA-C

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	363A00000X	Physician Assistant	PA20044	TX
2	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1821788464
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AKSA PRASAD PA-C

Provider Business Mailing Address
First Line	:	1201 W UNIVERSITY DR
Second Line	:
City	:	EDINBURG
State	:	TX
Zip	:	78539-2909
Country	:	US
Telephone Number	:	956-665-7049
Fax Number	:

Provider Business Practice Location Address
First Line	:	1201 W UNIVERSITY DR
Second Line	:
City	:	EDINBURG
State	:	TX
Zip	:	78539-2909
Country	:	US
Telephone Number	:	956-665-7049
Fax Number	:

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

Provider Enumeration Date	:	05/08/2023
Last Update Date	:	02/18/2026

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Directions to “ AKSA PRASAD PA-C” Practice Location

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