Potaraju, K Prasad
Potaraju, K Prasad is an sole proprietor health care provider with primary practice located at 5858 Myrick Rd , Dublin OH 43016-7934. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Potaraju, K Prasad can be contacted via phone (614) 389-3353.Contact Information
Primary practice address
5858 Myrick Rd
Dublin OH 43016-7934
Phone: (614) 389-3353
Fax: (614) 389-3353
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 74490 | Ohio |
Profile Details
| NPI number | 1902819592 |
|---|---|
| LBN Legal business name | Potaraju, K Prasad |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 14th, 2006 |
| Last updated | Dec 1st, 2014 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1902819592 | NPPES |
| Ohio | MEDICAID | 2166374 |
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