Provider Demographics
NPI:1609943141
Name:PRASAD, SUNIL NARSING (MD)
Entity Type:Individual
Prefix:DR
First Name:SUNIL
Middle Name:NARSING
Last Name:PRASAD
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 1:241 PALMDALE DR
Mailing Address - Street 2:APT4
Mailing Address - City:WILLIAMSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:14221-4018
Mailing Address - Country:US
Mailing Address - Phone:716-566-2783
Mailing Address - Fax:
Practice Address - Street 1:241 PALMDALE DR
Practice Address - Street 2:APT4
Practice Address - City:WILLIAMSVILLE
Practice Address - State:NY
Practice Address - Zip Code:14221-4018
Practice Address - Country:US
Practice Address - Phone:716-566-2783
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY220087-1207L00000X
MA216121207L00000X
FLME83842207L00000X
WV20558207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology