Provider Demographics
NPI:1578183760
Name:PRASHAR, SUNIL KUMAR (MD)
Entity Type:Individual
Prefix:DR
First Name:SUNIL
Middle Name:KUMAR
Last Name:PRASHAR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2005 BIG FLAT RD
Mailing Address - Street 2:
Mailing Address - City:MISSOULA
Mailing Address - State:MT
Mailing Address - Zip Code:59804-9432
Mailing Address - Country:US
Mailing Address - Phone:406-926-9144
Mailing Address - Fax:
Practice Address - Street 1:2679 PALMER ST
Practice Address - Street 2:
Practice Address - City:MISSOULA
Practice Address - State:MT
Practice Address - Zip Code:59808-1700
Practice Address - Country:US
Practice Address - Phone:406-329-1178
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-04-17
Last Update Date:2020-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT42131207ZF0201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZF0201XAllopathic & Osteopathic PhysiciansPathologyForensic Pathology