Provider Demographics
NPI:1275548943
Name:PRASAD, RAJEEV (MD)
Entity Type:Individual
Prefix:
First Name:RAJEEV
Middle Name:
Last Name:PRASAD
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:511 UNION ST
Mailing Address - Street 2:STE 1800
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37219-2509
Mailing Address - Country:US
Mailing Address - Phone:615-988-7881
Mailing Address - Fax:855-631-0206
Practice Address - Street 1:500 S RANCHO DR
Practice Address - Street 2:STE. 12
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89106-4844
Practice Address - Country:US
Practice Address - Phone:702-877-1887
Practice Address - Fax:702-877-4536
Is Sole Proprietor?:No
Enumeration Date:2006-07-30
Last Update Date:2020-09-21
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TN57397207RN0300X
NV11806207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV1275548943Medicaid
NVGH446ZMedicare PIN