Prasad, Mridula
Prasad, Mridula is an sole proprietor health care provider with primary practice located at 9250 Columbia Ave Suite C1, Munster IN 46321-3538. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as her primary health care specialty. Prasad, Mridula can be contacted via phone (219) 836-0039.Contact Information
Primary practice address
9250 Columbia Ave Suite C1
Munster IN 46321-3538
Phone: (219) 836-0039
Fax: (219) 836-0288
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 01032446 | Indiana |
Profile Details
| NPI number | 1578524898 |
|---|---|
| LBN Legal business name | Prasad, Mridula |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 28th, 2006 |
| Last updated | Dec 8th, 2011 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1578524898 | NPPES |
| Indiana | MEDICAID | 100340470B |
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