Garnepudi V Prasad MD PA

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

G4194 Issued in TX

Legal business name

GARNEPUDI V PRASAD MD PA

Practice address

110 E Crockett St
Cleveland, TX 77327-4044

Phone

(281) 592-1515

Fax

(281) 592-3807

NPI assigned

Jan 12, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Imelda A Thomas

Title

Billing Manager

Phone

(281) 587-1141

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• GV PRASAD MD Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1231718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236729600000",
    "number": "1134366263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 E CROCKETT ST",
            "city": "CLEVELAND",
            "state": "TX",
            "postal_code": "773274044",
            "telephone_number": "281-592-1515",
            "fax_number": "281-592-3807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 E CROCKETT ST",
            "city": "CLEVELAND",
            "state": "TX",
            "postal_code": "773274044",
            "telephone_number": "281-592-1515",
            "fax_number": "281-592-3807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARNEPUDI V PRASAD MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-12",
        "last_updated": "2009-03-11",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "IMELDA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "281-587-1141"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "G4194",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "138487709",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EVERCARE",
            "identifier": "25-00601",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP",
            "identifier": "0038RB",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BRAVO HEALTH",
            "identifier": "4516368",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GV PRASAD MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Janice Lorraine Fletcher, FNP-C, PMHNP-BC
• Maricela Fuentes
• Hailey Marie Gaida, M.S., CCC-SLP
• Linda Anne Gallander, OTR
• Lisyana Garcia, APRN, FNP
• Ana Patricia Garza, NP
• Daniel Garza, MD
• Joseph E Goin, MD
• Andrew C Gold, P.A.
• Anita Gottipati, MD

• Cardiovascular Disease Physician in Cleveland, TX
• Providers in Cleveland, TX by specialty
• Cardiovascular Disease Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.