Prasad, Madan
Prasad, Madan is an individual health care provider with primary practice located at 1801 E March Ln Suite B-220, Stockton CA 95210-6629. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Prasad, Madan can be contacted via phone (209) 951-8830.Contact Information
Primary practice address
1801 E March Ln Suite B-220
Stockton CA 95210-6629
Phone: (209) 951-8830
Fax: (209) 951-8831
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | A86600 | California |
Profile Details
| NPI number | 1639198054 |
|---|---|
| LBN Legal business name | Prasad, Madan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 18th, 2006 |
| Last updated | Apr 3rd, 2013 - about 13 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 | 1639198054 | NPPES |
| California | MEDICAID | 00A866000 |
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