MRIDULA PRASAD MD PC (NPI# 1891822268) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891822268 |
| Entity Type | Organization |
| Organization Name | MRIDULA PRASAD MD PC |
| Practice Address |
9250 Columbia Ave Ste 1c Munster IN 46321-3530 |
| Practice Telephone | 2198360039 |
| Practice Fax Number | 2198360288 |
| Mailing Telephone | 2198360039 |
| Mailing Fax Number | 2198360288 |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRIDULA PRASAD (OWNER) |
| Authorized Official Telephone | 2198360039 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
IN | Allopathic & Osteopathic Physicians | |
| X | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | BCBS IN | 000000103391 | 01 |
| BCBS IL | 91108099 | 01 |
| Street Address |
9250 COLUMBIA AVE STE 1C |
| City | MUNSTER |
| State | IN |
| Zip Code | 46321-3530 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154959179 | Munster Surgery Center LLC | Clinic/Center | 1950 45thstreet, Unit 101, Munster, IN 46321 | 2020-03-27 |
| 1467092668 | Barbara Armstrong-whitaker | Counselor | 8855 Columbia Ave, Munster, IN 46321 | 2020-01-15 |
| 1427537661 | Courtney Szydelko | Physical Therapist | 759 45th St Ste 202, Munster, IN 46321 | 2018-08-08 |
| 1407341787 | New Harvest Therapy Services, Inc. | Clinic/Center | 8124 Calumet Ave Ste B, Munster, IN 46321 | 2018-06-28 |
| 1043717945 | Region Eye Care LLC | Optometrist | 10413 Calumet Ave., Munster, IN 46321 | 2018-04-09 |
| 1003318122 | Jean M Nanos | Psychologist | 8124 Calumet Ave, Munster, IN 46321 | 2018-03-05 |
| 1841706330 | Avalon Marciniak | Speech-Language Pathologist | 1950 West 45th St., Munster, IN 46321 | 2017-12-19 |
| 1104330034 | Hinsdale Orthopaedic Associates, S.c. | Orthopaedic Surgery | 8141 S Calumet Ave, Unit 1, Munster, IN 46321 | 2017-11-30 |
| 1457871774 | Shannon Nicole Riley | Behavior Technician | 8113 Howard Ave., Munster, IN 46321 | 2017-06-27 |
| 1679017313 | Infomedica | Internal Medicine | 10010 Donald S Powers Dr, Munster, IN 46321 | 2016-12-15 |
| Find all providers in zip 46321 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578820510 | Cindy Joseph | Psychiatry & Neurology | 759 45th St, 104, Munster, IN 46321-2939 | 2012-04-16 |
| 1912917659 | Maryanhthu Do | Psychiatry & Neurology | 801 Macarthur Blvd Ste 404, Munster, IN 46321-2919 | 2006-08-08 |
| 1356345227 | David S Rozenfeld | Psychiatry & Neurology | 801 Macarthur Blvd, Ste 404, Munster, IN 46321-2919 | 2005-06-09 |
| 1922427004 | Vinny Sharma | Psychiatry & Neurology | 801 Macarthur Blvd Ste 404, Munster, IN 46321-2919 | 2014-04-16 |
| 1457627465 | Alok Mukesh Patel | Psychiatry & Neurology | 901 Macarthur Blvd, Munster, IN 46321-2901 | 2012-03-24 |
| 1225322522 | Justin Abraham | Psychiatry & Neurology | 801 Macarthur Blvd Ste 404, Munster, IN 46321-2919 | 2011-06-03 |
| 1073836706 | Chao Gong | Psychiatry & Neurology | 7905 Calumet Ave, Franciscan Hammond Clinic, Munster, IN 46321-1215 | 2010-03-09 |
| 1154550994 | Leslie Wilbanks | Psychiatry & Neurology | 801 Macarthur Blvd Ste 404, Munster, IN 46321-2919 | 2009-07-14 |
| 1902095938 | Shaila Bhatt Gupta | Psychiatry & Neurology | 801 Macarthur Blvd, Suite 404, Munster, IN 46321-2915 | 2007-10-16 |
| 1306065487 | Sanjeev V Maniar Md PC | Psychiatry & Neurology | 9250 Columbia Ave, Suite C1, Munster, IN 46321-3538 | 2007-04-25 |
| Find all providers in MUNSTER | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.