Vijay Kishore Prasad, MD | |
2 Sharpe St, Kingston, PA 18704-3715 | |
(570) 491-0126 | |
Not Available |
Full Name | Vijay Kishore Prasad |
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Gender | Male |
Speciality | Pediatrics |
Location | 2 Sharpe St, Kingston, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1215999313 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208000000X | Pediatrics | MD422321 (Pennsylvania) | Primary |
Entity Name | The Wright Center Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1194739979 PECOS PAC ID: 6305841230 Enrollment ID: O20061004000283 |
Mailing Address | Practice Location Address |
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Vijay Kishore Prasad, MD Po Box 858, Mc A410, Hershey, PA 17033-0858 Ph: (800) 243-1455 | Vijay Kishore Prasad, MD 2 Sharpe St, Kingston, PA 18704-3715 Ph: (570) 491-0126 |
Jeffery R Kile, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 451 3rd Ave Ste 1, Kingston, PA 18704 Phone: 570-288-6543 Fax: 570-288-7130 | |
Emily Nebzydoski, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 451 3rd Ave Ste 1, Kingston, PA 18704 Phone: 570-288-6543 Fax: 570-288-7130 | |
Dr. Alvaro G Reymunde, M.D Pediatrics Medicare: Medicare Enrolled Practice Location: 451 3rd Ave Ste 1, Kingston, PA 18704 Phone: 570-288-6543 Fax: 570-288-7130 | |
Basant Kumar Mittal, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 511 Pierce St, Kingston, PA 18704 Phone: 570-243-3300 Fax: 570-338-3993 | |
Tara Briane Churilla, DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 451 3rd Ave Ste 1, Kingston, PA 18704 Phone: 570-288-6543 Fax: 570-288-7130 | |
Shaifali Gupta, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 190 Welles St, Kingston, PA 18704 Phone: 570-718-4140 Fax: 570-718-4141 |