Kudalkar, Prasad R

Kudalkar, Prasad R is an individual health care provider with primary practice located at 3050 Mack Rd Ste 300 , Fairfield OH 45014-5376. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Kudalkar, Prasad R can be contacted via phone (513) 751-2273.

Contact Information

Primary practice address
3050 Mack Rd Ste 300 Fairfield OH 45014-5376
Phone: (513) 751-2273
Fax: (513) 751-1840
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 35089286 Ohio

Profile Details

NPI number 1013094382
LBN Legal business name Kudalkar, Prasad R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 1st, 2006
Last updated Apr 19th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013094382 NPPES
Ohio MEDICAID 2762685
Ohio MEDICAID 201041210
Ohio MEDICAID 7100178540

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