Isaac, Prasanna
Isaac, Prasanna is an individual health care provider with primary practice located at 7836 W Jefferson Blvd Ste 101 , Fort Wayne IN 46804-4178. She recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as her primary health care specialty. Isaac, Prasanna can be contacted via phone (260) 494-3484.Contact Information
Primary practice address
7836 W Jefferson Blvd Ste 101
Fort Wayne IN 46804-4178
Phone: (260) 494-3484
Fax: (260) 471-5507
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | 01067936A | Indiana |
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | 35.095468 | Ohio |
Profile Details
| NPI number | 1881899276 |
|---|---|
| LBN Legal business name | Isaac, Prasanna |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 18th, 2007 |
| Last updated | May 27th, 2022 - about 3 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 | 1881899276 | NPPES |
| Pennsylvania | MEDICAID | 1021263090001 | |
| Pennsylvania | MEDICAID | 1012980 | |
| Pennsylvania | MEDICAID | 200977120 |
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