Prasad, Sridhar
Prasad, Sridhar is an individual health care provider with primary practice located at 500 John Deere Road Trinity 7Th Street, Moline IL 61265. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine, which is considered as his primary health care specialty. Prasad, Sridhar can be contacted via phone (309) 779-5923.Contact Information
Primary practice address
500 John Deere Road Trinity 7Th Street
Moline IL 61265
Phone: (309) 779-5923
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine | 2080N0001X | 28327 | Iowa |
| Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine | 2080N0001X | Illinois |
Profile Details
| NPI number | 1477611325 |
|---|---|
| LBN Legal business name | Prasad, Sridhar |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 4th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1477611325 | NPPES |
| Iowa | MEDICAID | 3076513 |
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