| Prasad Potaraju Md., Inc., | |
|
5858 Myrick Rd Dublin OH 43016-7934 | |
| (614) 389-3353 | |
| (614) 389-3353 |
| Full Name | Prasad Potaraju Md., Inc., |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 5858 Myrick Rd, Dublin, Ohio |
| Authorized Official Name and Position | Prasad Potaraju (PRESIDENT) |
| Authorized Official Contact | 6143893353 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prasad Potaraju Md., Inc., 5858 Myrick Rd Dublin OH 43016-7934 Ph: (614) 389-3353 | Prasad Potaraju Md., Inc., 5858 Myrick Rd Dublin OH 43016-7934 Ph: (614) 389-3353 |
| NPI Number | 1942311923 |
|---|---|
| Provider Enumeration Date | 08/31/2006 |
| Last Update Date | 12/01/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942311923 | NPI | - | NPPES |
| 2865163 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 74490 (Ohio) | Primary |
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