DR. DEEPA PRASAD (NPI# 1174838528) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174838528 |
| Entity Type | Individual |
| Full Name | DR. DEEPA PRASAD |
| Credential | MD |
| Practice Address |
1432 S Dobson Rd Mesa AZ 85202-4768 |
| Practice Telephone | 4804126336 |
| Mailing Telephone | 4804126336 |
| Enumeration Date | 2010-08-10 |
| Last Update Date | 2019-08-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0202X |
Pediatrics Specialization: Pediatric Cardiology |
53832 | AZ | Allopathic & Osteopathic Physicians |
| Street Address |
1432 S DOBSON RD |
| City | MESA |
| State | AZ |
| Zip Code | 85202-4768 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205831203 | Ronald C Burton | Obstetrics & Gynecology | 1432 S Dobson Rd, Ste 509, Mesa, AZ 85202 | 2005-06-16 |
| 1396287892 | Misty Cram | Dietitian, Registered | 1432 S Dobson Rd, Mesa, AZ 85202-4768 | 2016-11-15 |
| 1205291655 | Christina Schaffer | Physician Assistant | 1432 S Dobson Rd, Suite 301, Mesa, AZ 85202-4768 | 2015-12-29 |
| 1083033997 | Amy Jones | Clinic/Center | 1432 S Dobson Rd, Suite 201, Mesa, AZ 85202-4768 | 2014-04-08 |
| 1396168761 | Sonora Quest Laboratories, LLC | Clinical Medical Laboratory | 1432 S Dobson Rd, Ste 202, Mesa, AZ 85202-4768 | 2014-01-21 |
| 1114349784 | Breanna Chamoff | Nurse Practitioner | 1432 S Dobson Rd, Suite 501, Mesa, AZ 85202-4768 | 2014-01-15 |
| 1033544564 | Wayne Truong | Surgery | 1432 S Dobson Rd, Suite 301, Mesa, AZ 85202-4768 | 2013-09-03 |
| 1326472150 | Lindsey Nicole Weak | Nurse Practitioner | 1432 S Dobson Rd, Suite 403, Mesa, AZ 85202-4768 | 2013-08-28 |
| 1770923872 | Crystal Marie Vegh | Nurse Practitioner | 1432 S Dobson Rd, St. 301, Mesa, AZ 85202-4768 | 2013-07-03 |
| 1588008700 | Carrie First | Nurse Practitioner | 1432 S Dobson Rd, Suite 402, Mesa, AZ 85202-4768 | 2013-04-18 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275173536 | Samuel A Wolde | Counselor | Clear View Counseling, 2651 W Guadalupe Rd, Mesa, AZ 85202 | 2020-01-14 |
| 1912549171 | Lauren Barbara Loges | Occupational Therapist | 2225 E. Southern Avenue, Mesa, AZ 85202 | 2019-10-09 |
| 1245724822 | Medsource Orthotics & Prosthetics, Inc | Prosthetic/Orthotic Supplier | 1450 S Dobson Rd Ste B326, Mesa, AZ 85202 | 2018-06-18 |
| 1457843310 | Jay Douglas Baumgardner | Physical Therapist | 1941 W. Guadalupe Rd. Suite 109, Mesa, AZ 85202 | 2018-06-05 |
| 1144746215 | Alyson Fix | Physician Assistant | 1432 S Dobson Rd Ste 304, Mesa, AZ 85202 | 2017-08-20 |
| 1194108852 | Robert Dale Labrum | Counselor | 1255 W Baseline Rd Ste B-258, Mesa, AZ 85202 | 2015-06-30 |
| 1114325677 | John David Shull Jr. | Physician Assistant | 1520 S Dobson Rd Ste 305, Mesa, AZ 85202 | 2014-12-16 |
| 1316356207 | Embry Womens Health LLC | Nurse Practitioner | 2204 S Dobson Road, Suite 203, Mesa, AZ 85202 | 2014-08-05 |
| 1619312899 | Fiza Naueed Khan | Internal Medicine | 1400 South Dobson Road, Attn: Bmg Hospitalists Team/amanda Gump, Mesa, AZ 85202 | 2013-05-01 |
| 1487903373 | Jodi Lynn Mealer | Pharmacist | 1951 W. Baseline Rd., Mesa, AZ 85202 | 2012-09-06 |
| Find all providers in zip 85202 | ||||
| Taxonomy Code | 2080P0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Cardiology |
| A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063455178 | Daniel E Miga | Pediatrics | 1432 S Dobson Rd Ste 512, Mesa, AZ 85202-4778 | 2006-06-14 |
| 1174941108 | Pankaj Jain | Pediatrics | 1400 S Dobson Rd, Mesa, AZ 85202-4707 | 2014-04-07 |
| 1679893341 | Michael Perez | Pediatrics | 1432 S Dobson Rd Ste 512, Mesa, AZ 85202-4778 | 2010-06-04 |
| 1245550854 | Rana Khaznadar | Pediatrics | 1432 S Dobson Rd Ste 512, Mesa, AZ 85202-4778 | 2010-06-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760660369 | John P Breinholt IIi | Pediatrics | Pediatric Cardiology, 1919 E Thomas Rd, Phoenix, AZ 85016 | 2008-02-06 |
| 1104999887 | Wayne Chiavacci | Pediatrics | 1832 S 8th Ave, Yuma, AZ 85364-5517 | 2006-11-17 |
| 1316956709 | Christopher L Lindblade | Pediatrics | 10250 N 92nd St Ste 212, Scottsdale, AZ 85258-4519 | 2006-08-05 |
| 1366467094 | John Henry Stock | Pediatrics | 7505 S Mcclintock Dr, Suite 103, Tempe, AZ 85283-5042 | 2006-07-13 |
| 1649203480 | Clifton Worsham | Pediatrics | 5757 W Thunderbird Rd Ste E353, Glendale, AZ 85306-4688 | 2006-07-07 |
| 1336178607 | Jennifer Mary Rutledge | Pediatrics | 4327 E Lupine Ave, Phoenix, AZ 85028-2230 | 2006-06-30 |
| 1124079546 | Shabib A Alhadheri | Pediatrics | 936 W. Chandler Blvd., Suite #2, Chandler, AZ 85225 | 2006-05-12 |
| 1326099615 | Jesus Carlos Macias | Pediatrics | 5983 E Grant Rd Ste 117, Tucson, AZ 85712-2366 | 2006-05-12 |
| 1396718524 | Richard Donnerstein | Pediatrics | 535 N Wilmot Rd Ste 101, Tucson, AZ 85711-2683 | 2006-02-08 |
| 1487626222 | Brent Jon Barber | Pediatrics | 535 N Wilmot Rd, Suite #101, Tucson, AZ 85711 | 2006-02-06 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.