Prasad, Vijitha

Prasad, Vijitha is an individual health care provider with primary practice located at 544 W Church St , Swainsboro GA 30401-3230. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Prasad, Vijitha can be contacted via phone (478) 237-2527.

Contact Information

Primary practice address
544 W Church St Swainsboro GA 30401-3230
Fax: (478) 237-7406
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X GA040520 Georgia

Profile Details

NPI number 1275520090
LBN Legal business name Prasad, Vijitha
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 6th, 2005
Last updated Jul 9th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275520090 NPPES
Georgia MEDICAID 00672086A

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