Prasad, Channa B

Prasad, Channa B is an individual health care provider with primary practice located at 1648 Highway 95 , Bullhead City AZ 86442-7906. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Prasad, Channa B can be contacted via phone (928) 758-4114.

Contact Information

Primary practice address
1648 Highway 95 Bullhead City AZ 86442-7906
Phone: (928) 758-4114
Fax: (928) 758-4650
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 14827 Arizona
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 14827 Arizona

Profile Details

NPI number 1477519445
LBN Legal business name Prasad, Channa B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 26th, 2006
Last updated Feb 22nd, 2016 - about 10 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 1477519445 NPPES
Arizona MEDICAID 249525

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