Provider Demographics
NPI:1346774437
Name:PRASAD, JAY SHANKAR
Entity type:Individual
Prefix:
First Name:JAY
Middle Name:SHANKAR
Last Name:PRASAD
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10904 PANTHER CT
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77099-5615
Mailing Address - Country:US
Mailing Address - Phone:832-571-4338
Mailing Address - Fax:
Practice Address - Street 1:10904 PANTHER CT
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77099-5615
Practice Address - Country:US
Practice Address - Phone:832-571-4338
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-04-14
Last Update Date:2025-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171R00000XOther Service ProvidersInterpreter