Provider Demographics
NPI:1942373337
Name:ANGARA, PRASAD V (MD)
Entity Type:Individual
Prefix:DR
First Name:PRASAD
Middle Name:V
Last Name:ANGARA
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Gender:M
Credentials:MD
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Mailing Address - Street 1:230 NORTH RD
Mailing Address - Street 2:
Mailing Address - City:POUGHKEEPSIE
Mailing Address - State:NY
Mailing Address - Zip Code:12601-1328
Mailing Address - Country:US
Mailing Address - Phone:845-440-3275
Mailing Address - Fax:845-440-3275
Practice Address - Street 1:280 BROADWAY
Practice Address - Street 2:200
Practice Address - City:NEWBURGH
Practice Address - State:NY
Practice Address - Zip Code:12550-5408
Practice Address - Country:US
Practice Address - Phone:845-562-7326
Practice Address - Fax:845-565-0826
Is Sole Proprietor?:No
Enumeration Date:2006-11-16
Last Update Date:2017-06-12
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Provider Licenses
StateLicense IDTaxonomies
NY166661-12084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYA64951Medicare UPIN