Devineni R Prasad Md Pa

LBN: Devineni R Prasad Md Pa
Devineni R Prasad Md Pa is an health care organization with primary practice located at 777 S White Horse Pike Suite E1, Hammonton NJ 08037-2029. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Devineni R Prasad Md Pa can be contacted via phone (609) 567-0608, or through Prasad, Devineni via phone (609) 567-0608.

Contact Information

Primary practice address
777 S White Horse Pike Suite E1 Hammonton NJ 08037-2029
Phone: (609) 567-0608
Fax: (609) 567-1295
Website:
Map and Directions
Authorized official contact:
Name: Prasad, Devineni Doctor of Medicine (MD)
Phone: (609) 567-0608

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 25MA03254600 New Jersey

Profile Details

NPI number 1154585545
LBN Legal business name Devineni R Prasad Md Pa
DBA Doing business as
Authorized official Prasad, Devineni Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 15th, 2008
Last updated Oct 5th, 2012 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154585545 NPPES
New Jersey Other 1047520 HORIZON NJ HORIZON
New Jersey MEDICAID 2929201 HORIZON NJ HORIZON

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