Prasad, Channa B
Prasad, Channa B is an individual health care provider with primary practice located at 1648 Highway 95 , Bullhead City AZ 86442-7906. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Prasad, Channa B can be contacted via phone (928) 758-4114.Contact Information
Primary practice address
1648 Highway 95
Bullhead City AZ 86442-7906
Phone: (928) 758-4114
Fax: (928) 758-4650
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 14827 | Arizona |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 14827 | Arizona |
Profile Details
| NPI number | 1477519445 |
|---|---|
| LBN Legal business name | Prasad, Channa B |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 26th, 2006 |
| Last updated | Feb 22nd, 2016 - about 8 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 | 1477519445 | NPPES |
| Arizona | MEDICAID | 249525 |
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