RAGHAVENDRA S PRASAD (NPI# 1700800661) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700800661 |
| Entity Type | Individual |
| Full Name | RAGHAVENDRA S PRASAD |
| Credential | MD |
| Practice Address |
445 E Fm 1382 #3354 Cedar Hill TX 75104 |
| Practice Telephone | 2143251969 |
| Practice Fax Number | 9722910019 |
| Mailing Telephone | 2143251969 |
| Mailing Fax Number | 9722910019 |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2008-05-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QG0300X |
Family Medicine Specialization: Geriatric Medicine |
J6213 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | INDIVIDUAL PTAN/ DALLAS COUNTY | 8F7018 | 01 |
| TX | INDIVIDUAL PTAN #/ TARRANT COUNTY | 8F7028 | 01 |
| TX | INDIVIDUAL PTAN #/ ELLIS & COLLINS COUNTY | 8F7027 | 01 |
| TX | 148776102 | 05 | |
| TX | 148776103 | 05 | |
| TX | 132640710 | 05 |
| Street Address |
445 E FM 1382 #3354 |
| City | CEDAR HILL |
| State | TX |
| Zip Code | 75104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225647613 | Maurice Leung | Optometrist | 305 W. Fm1382 Bldg 500, Suite 500, Cedar Hill, TX 75104 | 2020-07-30 |
| 1073156055 | Collier Family Dnetistry Pllc | Dentist | 918 E Pleasant Run Rd, Ste 120, Cedar Hill, TX 75104 | 2019-10-23 |
| 1760038061 | Shawn Brandon Fitzpatrick | Optometrist | 500, 305 E Farm To Market Rd., 1382 #500, Cedar Hill, TX 75104 | 2019-08-13 |
| 1487120093 | Daniel Max & Marcandrea, LLC | Optometrist | 401 J Elmer Weaver Fwy, Cedar Hill, TX 75104 | 2018-10-22 |
| 1386153567 | Professional Np Cares Inc | Family Medicine | 1438 Oxbow Dr., Cedar Hill, TX 75104 | 2017-09-20 |
| 1295273688 | Ikids Pediatric Dentistry Cedar Hill, Pllc | Dentist | 520 W. Fm 1382, Cedar Hill, TX 75104 | 2017-02-06 |
| 1598178568 | Meredith Lee Orseth | Dermatology | 610 Uptown Blvd Ste 102, Cedar Hill, TX 75104 | 2014-06-08 |
| 1295160943 | Cedar Hill Medical Center LLC | Clinic/Center | 850 Hwy 67 N, Cedar Hill, TX 75104 | 2013-09-12 |
| 1447699202 | Tammy Audrenia Clay | Registered Nurse | 1336 Boyd Street, Cedar Hill, TX 75104 | 2013-06-14 |
| 1205172020 | Felistar Ogechi Awhen | Licensed Vocational Nurse | 1277 Cedarhill, Cedarhill, TX 75104 | 2012-12-26 |
| Find all providers in zip 75104 | ||||
| Taxonomy Code | 207QG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Geriatric Medicine |
| A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Family Medicine, 2007. http://wwwtheabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629258058 | Dallas Geriatrics Associates, P.a | Family Medicine | 445 E. Fm 1382, Suite # 3354, Cedar Hill, TX 75104 | 2007-11-14 |
| 1265442602 | Vijaya Lakshmi Sudanagunta | Family Medicine | 445 E Fm 1382, Suite 3354, Cedar Hill, TX 75104-6047 | 2006-08-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801494315 | Connie Davis | Family Medicine | 8135 Kenton St, Houston, TX 77028-4631 | 2020-10-16 |
| 1821604000 | Zn Healthcare Services, Pllc | Family Medicine | 2405 Barton Shore Dr, Pearland, TX 77584-3952 | 2020-09-22 |
| 1912516030 | Crystal Nichole Heads | Family Medicine | 7777 Katy Fwy Apt 353, Houston, TX 77024-2056 | 2020-07-24 |
| 1477176584 | Medicos En Casa | Family Medicine | 2500 E Price Rd Ste 500, Brownsville, TX 78521-3399 | 2020-05-22 |
| 1831723816 | Agape Housecalls Pa | Family Medicine | 1312 14th St Ste 101, Plano, TX 75074-6206 | 2020-02-27 |
| 1386294668 | P & P Care Pllc | Family Medicine | 8901 Ef Lowry Expwy, Ste B, Texas City, TX 77591 | 2019-09-18 |
| 1255811899 | Dr Rakhshi Hydari Pllc | Family Medicine | 13558 Mercedes Ln, Frisco, TX 75035-0649 | 2018-08-14 |
| 1265927016 | Geriatrics & Family Practice Associates of South Texas Pllc | Family Medicine | 888 S Greenville Ave Ste 102, Richardson, TX 75081-5052 | 2018-06-25 |
| 1841793312 | Hra Iq-tx LLC | Family Medicine | 4220 John Ct, Flower Mound, TX 75028-1144 | 2018-03-12 |
| 1891224184 | O.m. Medical House Call Mgmt Inc | Family Medicine | 1300 W Walnut Hill Ln Ste 155f, Irving, TX 75038-3032 | 2017-06-08 |
| Find all providers with the same taxonomy | ||||
| City | CEDAR HILL |
| Zip Code | 75104 |
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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.