MADAN PRASAD (NPI# 1639198054) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639198054 |
| Entity Type | Individual |
| Full Name | MADAN PRASAD |
| Credential | M.D. |
| Practice Address |
1801 E March Ln Suite B-220 Stockton CA 95210-6629 |
| Mailing Address |
Po Box 7393 Stockton CA 95267-0393 |
| Practice Telephone | 2099518830 |
| Practice Fax Number | 2099518831 |
| Mailing Telephone | 2099518830 |
| Mailing Fax Number | 2099518831 |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2013-04-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
A86600 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00A866000 | 05 |
| Street Address |
1801 E MARCH LN SUITE B-220 |
| City | STOCKTON |
| State | CA |
| Zip Code | 95210-6629 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043215270 | Ronald A Kass | Internal Medicine | 1801 E March Ln, Suite C300, Stockton, CA 95210-6629 | 2005-06-15 |
| 1700327525 | Lakshmi Kulkarni | Pharmacist | 1801 E March Ln, Suite B280, Stockton, CA 95210-6629 | 2017-03-13 |
| 1811343734 | Josebelo D. Chong, M.d. Inc. | Internal Medicine | 1801 E March Ln, Suite C300, Stockton, CA 95210-6629 | 2016-05-10 |
| 1093113631 | Vijaysri Nannapaneni | Pharmacist | 1801 E March Ln, Suite B280, Stockton, CA 95210-6629 | 2014-12-15 |
| 1790107829 | Barry K Wilson Md Inc | Anesthesiology | 1801 E March Ln, Suite 360, Stockton, CA 95210-6629 | 2014-01-08 |
| 1396007100 | Jennifer Williams | Internal Medicine | 1801 E March Ln, Stockton, CA 95210 | 2012-06-08 |
| 1376815605 | Zeiter Eye Medical Group Inc Oculafacial Plastic and Reconstructive Su | Surgery | 1801 E March Ln, Suite A160, Stockton, CA 95210-6629 | 2012-02-02 |
| 1790080182 | James Lester Avery | Physician Assistant | 1801 E March Ln, D-460, Stockton, CA 95210-6629 | 2011-01-17 |
| 1477884161 | Kusum Lata | Internal Medicine | 1801 E March Ln, #a-170, Stockton, CA 95210-6629 | 2010-01-20 |
| 1023247079 | Valley Kidney Clinic Inc | Specialist | 1801 E March Ln, Suite B265, Stockton, CA 95210-6629 | 2009-07-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063021970 | Leslie Jazmin Marin | Student in an Organized Health Care Education/Training Program | 7109 Danny Dr, Stockton, Stockton, CA 95210 | 2020-07-27 |
| 1043866692 | Alexis Thomasson | Behavior Technician | 7109 Danny Drive, Stockton, CA 95210 | 2019-08-09 |
| 1821651324 | Maria Guadalupe Toledo | Lactation Consultant, Non-RN | 7912 Hammer Lane, Stockton, CA 95210 | 2019-04-19 |
| 1508226440 | Active Life Adult Day Care, Inc. | Clinic/Center | 7209 Tam O'shanter Dr., Stockton, CA 95210 | 2016-03-04 |
| 1548631260 | Rachel Standley | Substance Abuse Rehabilitation Facility | 8017 El Cajon St, Stockton, CA 95210 | 2015-10-08 |
| 1225435308 | Active Life Medical Produtcs Inc | Durable Medical Equipment & Medical Supplies | 611 W Grider Way, Stockton, CA 95210 | 2014-12-04 |
| 1942633318 | Kimberly Ruiz Dizon | Physician Assistant | 1530 E Hammer Ln, Stockton, CA 95210 | 2013-08-20 |
| 1285920983 | Supplemental Health Care | Preferred Provider Organization | 8425 Kiltie Wy, Stockton, CA 95210 | 2011-06-22 |
| 1770807901 | Stockton Medical Weight Loss Center Inc | Internal Medicine | 1801 E. March Lane, Suite 400d, Stockton, CA 95210 | 2010-03-17 |
| 1699911412 | Pratap Krishna Anne | Pharmacist | 1801 E.march Ln, Suite:b280, Bjrx, Stockton, CA 95210 | 2008-12-29 |
| Find all providers in zip 95210 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376886457 | Gabriel Mario Moreno | Psychiatry & Neurology | 1805 N California St Ste 200, Stockton, CA 95204-6032 | 2013-03-27 |
| 1073588091 | Meherji A Oshtory | Psychiatry & Neurology | 2626 N Califonia St, Suite I, Stockton, CA 95204 | 2006-02-22 |
| 1215573613 | Touro University Medical Group | Psychiatry & Neurology | 1805 N California St Ste 201, Stockton, CA 95204-6032 | 2019-11-20 |
| 1275794919 | Anil Neelakantan | Psychiatry & Neurology | 2505 W Hammer Ln, Stockton, CA 95209-2839 | 2008-06-24 |
| 1194856914 | Meherji Oshtory Md & Abha Oshtory Md A Professional Corp | Psychiatry & Neurology | 2626 N California St, Suite I, Stockton, CA 95204-5500 | 2007-03-07 |
| 1114099868 | Blondell A. Gage | Psychiatry & Neurology | 7373 West Ln, Stockton, CA 95210-3377 | 2006-11-15 |
| 1740368653 | George K. York | Psychiatry & Neurology | 7373 West Ln, Stockton, CA 95210-3377 | 2006-11-01 |
| 1912085721 | Michael L. Kiekhaefer | Psychiatry & Neurology | 7373 West Ln, Stockton, CA 95210-3377 | 2006-11-01 |
| 1366461782 | Modern Neurocare Medical Center | Psychiatry & Neurology | 1801 E March Ln, Suite B-220, Stockton, CA 95210-6629 | 2006-07-18 |
| 1558332999 | Abha M Oshtory | Psychiatry & Neurology | 2626 N California St, Suite I, Stockton, CA 95204-5500 | 2006-02-01 |
| Find all providers in STOCKTON | ||||
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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.