Mridula Prasad, M.D.

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

01032446 Issued in IN

Practice address

9250 Columbia Ave
Suite C1
Munster, IN 46321-3538

Phone

(219) 836-0039

Fax

(219) 836-0288

NPI assigned

Mar 28, 2006

Last updated

Dec 8, 2011By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mridula Prasad MD PC

  • Psychiatry Physician
  • Munster, IN
  • NPI 1891822268

  Neurology

  NPD (past) Authorized official

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

{
    "created_epoch": "1143504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323302400000",
    "number": "1578524898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9250 COLUMBIA AVE",
            "address_2": "SUITE C1",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463213538",
            "telephone_number": "219-836-0039",
            "fax_number": "219-836-0288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9250 COLUMBIA AVE",
            "address_2": "SUITE C1",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463213538",
            "telephone_number": "219-836-0039",
            "fax_number": "219-836-0288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRASAD",
        "first_name": "MRIDULA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-28",
        "last_updated": "2011-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "IN",
            "license": "01032446",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100340470B",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kimberly Power, M.S. CCC-SLP
• Powers Health Diagnostic Group LLC
• Narayan Prabhakar, MD
• Dyanna JM Hamstra Prairie, AU.D.
• Kurt E Pramuk, D.D.S.
• R Bhawani Prasad, M.D.
• Christine Marie Pratt
• Pravin Gupta M.D., P.C.
• Preference Health Services Inc.
• Mary Prem, MD

• Neurology Physician in Munster, IN
• Providers in Munster, IN by specialty
• Neurology Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2011; 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.