Prasad, Vajravel M.
Prasad, Vajravel M. is an sole proprietor health care provider with primary practice located at 3800 Venetian Way Ste 200, Newburgh IN 47630-8257. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Prasad, Vajravel M. can be contacted via phone (812) 477-6103.Contact Information
Primary practice address
3800 Venetian Way Ste 200
Newburgh IN 47630-8257
Phone: (812) 477-6103
Fax: (812) 477-4897
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 01061439A | Indiana |
Profile Details
| NPI number | 1306876560 |
|---|---|
| LBN Legal business name | Prasad, Vajravel M. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 4th, 2006 |
| Last updated | Nov 10th, 2021 - about 4 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 | 1306876560 | NPPES |
| Indiana | MEDICAID | 200395350A |
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