Provider Demographics
NPI:1912993965
Name:NADKARNI, PRASAD P (MD)
Entity Type:Individual
Prefix:DR
First Name:PRASAD
Middle Name:P
Last Name:NADKARNI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:1518 MULBERRY AVE
Mailing Address - Street 2:
Mailing Address - City:MUSCATINE
Mailing Address - State:IA
Mailing Address - Zip Code:52761-3433
Mailing Address - Country:US
Mailing Address - Phone:563-262-4112
Mailing Address - Fax:563-264-8519
Practice Address - Street 1:1518 MULBERRY AVE
Practice Address - Street 2:
Practice Address - City:MUSCATINE
Practice Address - State:IA
Practice Address - Zip Code:52761-3433
Practice Address - Country:US
Practice Address - Phone:563-262-4112
Practice Address - Fax:563-264-8519
Is Sole Proprietor?:No
Enumeration Date:2005-09-26
Last Update Date:2013-04-23
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IA31651208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
IAIB2621025Medicare PIN
IAG42520Medicare UPIN