| Mridula Prasad Md Pc | |
|
9250 Columbia Ave Ste 1c Munster IN 46321-3530 | |
| (219) 836-0039 | |
| (219) 836-0288 |
| Full Name | Mridula Prasad Md Pc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 9250 Columbia Ave Ste 1c, Munster, Indiana |
| Authorized Official Name and Position | Mridula Prasad (OWNER) |
| Authorized Official Contact | 2198360039 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mridula Prasad Md Pc 9250 Columbia Ave Ste 1c Munster IN 46321-3530 Ph: (219) 836-0039 | Mridula Prasad Md Pc 9250 Columbia Ave Ste 1c Munster IN 46321-3530 Ph: (219) 836-0039 |
| NPI Number | 1891822268 |
|---|---|
| Provider Enumeration Date | 02/27/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891822268 | NPI | - | NPPES |
| 000000103391 | Other | IN | BCBS IN |
| 91108099 | Other | BCBS IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (Indiana) | Primary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (Indiana) | Primary |
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