Padala, Prasad Rao K.D.

Padala, Prasad Rao K.D. is an individual health care provider with primary practice located at 2200 Fort Roots Dr 3J/Nlr, North Little Rock AR 72114-1709. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Geriatric Psychiatry, Allopathic & Osteopathic Physicians / Psychosomatic Medicine. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Padala, Prasad Rao K.D. can be contacted via phone (501) 257-2503.

Contact Information

Primary practice address
2200 Fort Roots Dr 3J/Nlr North Little Rock AR 72114-1709
Phone: (501) 257-2503
Fax: (501) 257-2501
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 22329 Nebraska
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X E-7269 Arkansas
Allopathic & Osteopathic Physicians / Geriatric Psychiatry 2084P0805X E-7269 Arkansas
Allopathic & Osteopathic Physicians / Psychosomatic Medicine 2084P0015X E-7269 Arkansas

Profile Details

NPI number 1750331070
LBN Legal business name Padala, Prasad Rao K.D.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 10th, 2006
Last updated Apr 20th, 2012 - about 13 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 1750331070 NPPES
Nebraska MEDICAID 47078557539

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