Vasireddy, Prasad

Vasireddy, Prasad is an individual health care provider with primary practice located at 701 N 1St St , Springfield IL 62781-0001. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Vasireddy, Prasad can be contacted via phone (217) 789-0668.

Contact Information

Primary practice address
701 N 1St St Springfield IL 62781-0001
Phone: (217) 789-0668
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 036054611 Illinois

Profile Details

NPI number 1508803339
LBN Legal business name Vasireddy, Prasad
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2006
Last updated Nov 18th, 2014 - about 10 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 1508803339 NPPES
Illinois MEDICAID 036054611

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