Prasad, Praveen Chandra
Prasad, Praveen Chandra is an sole proprietor health care provider with primary practice located at 1000 73Rd St Ste 17 , West Des Moines IA 50265-1321. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Prasad, Praveen Chandra can be contacted via phone (515) 223-2383.Contact Information
Primary practice address
1000 73Rd St Ste 17
West Des Moines IA 50265-1321
Phone: (515) 223-2383
Fax: (515) 225-8679
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 30165 | Iowa |
Profile Details
| NPI number | 1164429403 |
|---|---|
| LBN Legal business name | Prasad, Praveen Chandra |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 1st, 2005 |
| Last updated | Jun 4th, 2024 - about 2 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 | 1164429403 | NPPES |
| Iowa | MEDICAID | 1118091 |
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