MEDICARE: MRIDULA PRASAD MD PC

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	2084N0400X	Neurology Physician		IN
2	2084P0800X	Psychiatry Physician		IN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	000000103391	OTHER	IN	BCBS IN
2	91108099	OTHER		BCBS IL

General Provider Information

NPI Number	:	1891822268
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MRIDULA PRASAD MD PC

Provider Business Mailing Address
First Line	:	9250 COLUMBIA AVE STE 1C
Second Line	:
City	:	MUNSTER
State	:	IN
Zip	:	46321-3530
Country	:	US
Telephone Number	:	219-836-0039
Fax Number	:	219-836-0288

Provider Business Practice Location Address
First Line	:	9250 COLUMBIA AVE STE 1C
Second Line	:
City	:	MUNSTER
State	:	IN
Zip	:	46321-3530
Country	:	US
Telephone Number	:	219-836-0039
Fax Number	:	219-836-0288

Authorized Official
Title or Position	:	OWNER
Name	:	MRIDULA PRASAD
Credential	:	M.D.
Telephone Number	:	219-836-0039

Provider Enumeration Date	:	02/27/2007
Last Update Date	:	09/11/2025

Similar Medicare Providers

1093701542 — JOHN MICHAEL NELSON LCSW
Practice Location Address:

9250 COLUMBIA AVE STE 2E
MUNSTER, IN
46321-3530

Practice Phone: 219-595-0043
Practice Fax: 219-237-2894

1285646810 — MS. CHRISTINE M BORDERS OTR/L, CHT
Practice Location Address:

9250 COLUMBIA AVE STE 1F
MUNSTER, IN
46321-3530

Practice Phone: 219-836-4921
Practice Fax: 219-836-4923

1720199029 — SCOTT SIEGALL MD
Practice Location Address:

9250 COLUMBIA AVE STE 2E
MUNSTER, IN
46321-3530

Practice Phone: 219-595-0043
Practice Fax: 219-237-2894

1942303870 — AMERICAN MEDICAL ASSOCIATES LLC
Practice Location Address:

9250 COLUMBIA AVE STE 1F
MUNSTER, IN
46321-3530

Practice Phone: 219-937-9653
Practice Fax: 219-937-2981

1346387826 — MATTHEW MCCRAY ASHBY M.D.
Practice Location Address:

9250 COLUMBIA AVE STE 2E
MUNSTER, IN
46321-3530

Practice Phone: 219-595-0043
Practice Fax:

1831374073 — CASSANDRA OWENS LCSW
Practice Location Address:

9250 COLUMBIA AVE STE 2E
MUNSTER, IN
46321-3530

Practice Phone: 219-595-0043
Practice Fax: 219-237-2894

Directions to “MRIDULA PRASAD MD PC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.