Prasad, Shanti

Prasad, Shanti is an individual health care provider with primary practice located at 2001 Columbia Pike Suite 131, Arlington VA 22204-4547. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Prasad, Shanti can be contacted via phone (703) 979-1777.

Contact Information

Primary practice address
2001 Columbia Pike Suite 131 Arlington VA 22204-4547
Phone: (703) 979-1777
Fax: (703) 979-8258
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 0101227771 Virginia
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 0101227771 Virginia

Profile Details

NPI number 1982646113
LBN Legal business name Prasad, Shanti
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2006
Last updated Dec 17th, 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 1982646113 NPPES
Virginia MEDICAID 5860105

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