Prasad, Praveen Chandra

Prasad, Praveen Chandra is an sole proprietor health care provider with primary practice located at 1000 73Rd St Ste 17 , West Des Moines IA 50265-1321. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Prasad, Praveen Chandra can be contacted via phone (515) 223-2383.

Contact Information

Primary practice address
1000 73Rd St Ste 17 West Des Moines IA 50265-1321
Phone: (515) 223-2383
Fax: (515) 225-8679
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 30165 Iowa

Profile Details

NPI number 1164429403
LBN Legal business name Prasad, Praveen Chandra
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 1st, 2005
Last updated Jun 4th, 2024 - about last year

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 1164429403 NPPES
Iowa MEDICAID 1118091

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