DR. MIRAMAR S PRASAD (NPI# 1235105826) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235105826 |
| Entity Type | Individual |
| Full Name | DR. MIRAMAR S PRASAD |
| Credential | MD |
| Practice Address |
5401 44th Avenue Drive Suite 100 Moline IL 51265-6401 |
| Practice Telephone | 3097795439 |
| Practice Fax Number | 3095587026 |
| Mailing Telephone | 3097795439 |
| Mailing Fax Number | 3095587026 |
| Enumeration Date | 2006-02-24 |
| Last Update Date | 2014-01-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | 036084335 | IL | Allopathic & Osteopathic Physicians |
| Y | 208000000X | Pediatrics | 036084335 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 2924712 | 05 | |
| IL | 1235105826 | 05 |
| Street Address |
5401 44TH AVENUE DRIVE SUITE 100 |
| City | MOLINE |
| State | IL |
| Zip Code | 51265-6401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831798313 | Marcella Ann Cochran | Nurse's Aide | 2418 6th Ave, Moline, IL 61265-1539 | 2020-10-26 |
| 1760096077 | Taylor L Wiskus | Physical Therapist | 3910 16th St, Moline, IL 61265-1275 | 2020-09-03 |
| 1275144966 | Ann Katherine Cobb | Speech-Language Pathologist | 3513 56th Street Pl, Moline, IL 61265-6651 | 2020-08-14 |
| 1700495678 | Kara Castel | Nurse Practitioner | 4109 17th Ave, Moline, IL 61265-3507 | 2020-07-27 |
| 1831716745 | The Project of The Quad Cities | Pharmacy | 1701 River Dr Ste 106, Moline, IL 61265-1384 | 2020-06-26 |
| 1265051817 | Apollo Anesthesia and Pain Management, Pllc | Nurse Anesthetist, Certified Registered | 520 Valley View Dr Ste 300, Moline, IL 61265-6152 | 2020-04-14 |
| 1700414950 | Harold Wayne Duckett | Prosthetist | 1801 15th Street Pl, Moline, IL 61265-3964 | 2020-03-31 |
| 1336773696 | Illinois Therapy Associates LLC | Occupational Therapist | Wellness Office, 941 6th Street, Moline, IL 61265-1101 | 2020-02-26 |
| 1073146692 | Quad Cities Regenerative Medicine, LLC | Nurse Practitioner | 4101 John Deere Rd Ste 2, Moline, IL 61265-6790 | 2020-02-21 |
| 1548891823 | Amanda Bagby | Hearing Instrument Specialist | 1550 52nd Ave, Moline, IL 61265-6126 | 2020-01-27 |
| Find all providers in MOLINE | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| 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/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326539925 | Hartman Pediatrics, LLC | Pediatrics | 550 30th Ave Ste 2, Moline, IL 61265-5975 | 2018-05-21 |
| 1568890325 | Pediatrics Plus. S.c. | Pediatrics | 4011 Avenue of The Cities Ste 101b, Suite 101b, Moline, IL 61265-4454 | 2013-10-14 |
| 1942260070 | Christopher Stanton Moen | Pediatrics | 1625 Avenue of The Cities, Moline, IL 61265-4856 | 2006-03-24 |
| 1205820099 | David G Bunker | Pediatrics | 4376 7th St, Moline, IL 61265-6867 | 2005-09-07 |
| 1376925289 | Amita Ghosh | Pediatrics | 1106 4th Ave, Moline, IL 61265 | 2015-06-27 |
| 1386931814 | Lai See Lam | Pediatrics | 1106 4th Ave, Community Health Care, Moline, IL 61265-1231 | 2011-07-05 |
| 1194017913 | Deepna Kukreja | Pediatrics | 1106 4th Avenue, Moline, IL 61265-1231 | 2011-05-12 |
| 1821227414 | Vikram Agrawal | Pediatrics | 600 John Deere Rd, Suite 308, Moline, IL 61265-6869 | 2009-07-06 |
| 1114161908 | Sachin S Nunnewar | Pediatrics | 1106 4th Ave, Moline, IL 61265-1231 | 2009-04-24 |
| 1326188400 | Franklin Pediatrics, S.c. | Pediatrics | 4376 7th St, Moline, IL 61265-6867 | 2007-02-07 |
| Find all providers in MOLINE | ||||
Please comment or provide details below to improve the information on DR. MIRAMAR S PRASAD.
| 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.