Dr. Miramar S Prasad
MD | Pediatrics | Female
Dr. Miramar S Prasad, MD is a Moline, Illinois based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Dr. Miramar S Prasad is
5401 44th Avenue Drive, Suite 100, Moline, Illinois - 51265-6401. She can be contacted on phone at
309-779-5439 and fax number 309-558-7026.
Dr. Miramar S Prasad is a sole proprietor of her business.
NPI number (Unique professional ID) for Dr. Miramar S Prasad is
1235105826 which was assigned by NPPES on 24 Feb, 2006 and it was last updated on 15 Jan, 2014.
Dr. Miramar S Prasad license number is
036084335 for Pediatrics (208000000X) in Illinois.
Dr. Miramar S Prasad is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Dr. Miramar S Prasad basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Dr. Miramar S Prasad |
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| Credential : | MD |
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| Gender : | Female |
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Business Address:
Dr. Miramar S Prasad address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 5401 44th Avenue Drive, Suite 100
Moline, IL, 51265-6401
United States |
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| Phone Number : | 309-779-5439 |
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| Fax Number : | 309-558-7026 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1235105826 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 24 Feb, 2006 |
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| Last Updated On : | 15 Jan, 2014 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Miramar S Prasad are as mentioned. Primary taxonomy code for Dr. Miramar S Prasad, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 207Q00000X | Family Medicine | No | 036084335 | IL |
| 208000000X | Pediatrics | Yes | 036084335 | IL |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Miramar S Prasad such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 2924712 | MEDICAID | IA | |
| 1235105826 | MEDICAID | IL | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 5401 44th Avenue Drive, Suite 100
Moline, IL, 51265-6401
United States |
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| Phone Number : | 309-779-5439 |
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| Fax Number : | 309-558-7026 |
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Business Location:
Patients can refer following map for directions to
Dr. Miramar S Prasad practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.