Provider Demographics
NPI:1184841603
Name:PRASAD, VINOD (MD, MPH)
Entity Type:Individual
Prefix:DR
First Name:VINOD
Middle Name:
Last Name:PRASAD
Suffix:
Gender:M
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:600 E TAYLOR ST
Mailing Address - Street 2:SUITE 103
Mailing Address - City:SHERMAN
Mailing Address - State:TX
Mailing Address - Zip Code:75090-2881
Mailing Address - Country:US
Mailing Address - Phone:903-893-7170
Mailing Address - Fax:903-893-4372
Practice Address - Street 1:600 E TAYLOR ST
Practice Address - Street 2:SUITE 103
Practice Address - City:SHERMAN
Practice Address - State:TX
Practice Address - Zip Code:75090-2881
Practice Address - Country:US
Practice Address - Phone:903-893-7170
Practice Address - Fax:903-893-4372
Is Sole Proprietor?:No
Enumeration Date:2007-04-18
Last Update Date:2015-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME98208207RN0300X
OK31742207RN0300X
TXQ3576207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXQ3576OtherLICENSE
TX8FG756OtherBCBS
TX347423101Medicaid
OK200611930AMedicaid
TXQ3576OtherLICENSE
TX347423101Medicaid