Prasad, Krishna R

Prasad, Krishna R is an individual health care provider with primary practice located at 36500 Aurora Dr , Summit WI 53066-4899. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Prasad, Krishna R can be contacted via phone (262) 434-1900.

Contact Information

Primary practice address
36500 Aurora Dr Summit WI 53066-4899
Fax: (262) 434-1901
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 29749-020 Wisconsin

Profile Details

NPI number 1306822747
LBN Legal business name Prasad, Krishna R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 19th, 2005
Last updated Jan 10th, 2022 - about 2 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 1306822747 NPPES
Wisconsin MEDICAID 31453500

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