Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. INDRA DEO PRASAD, M.D.
Active Sole ProprietorSpecialist · EAST ORANGE, NJ
Registration Details
- NPI Number
- 1861490377
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 8, 2005 (20.815173672987 yrs)
- Last Updated
- Mar 23, 2011
- License
-
25MA06733900 (NJ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
85 S HARRISON ST203EAST ORANGE, NJ, 070181700Browse NJ providers · Browse ZIP 07018
- Phone
- 9733951020
- Fax
- 9733951030
- Primary Specialty
-
Specialist
174400000X
Other Specialist Providers in EAST ORANGE, NJ
| Name | Credential | NPI |
|---|---|---|
| SUK-WOON PANG | M.D. | 1376547745 |
| YONG MOO PARK | M.D. | 1356345722 |
| JEANNE WONG | M.D. | 1316941792 |
| DR. ANTHONY MICHAEL RICCIARDI JR. | MD | 1164485314 |
| DR. KEITH EVAN FRASER | M.D. | 1881621266 |
| DR. ROLAND ANTOINE | M.D. | 1902814478 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.