SRIDHAR PRASAD MD – NPI #1477611325
Pediatrics

A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.

SRIDHAR PRASAD is a physician located in MOLINE, IL. NPPES has assigned the NPI number 1477611325 to SRIDHAR PRASAD on December 04, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 2080N0001X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics, specializing in Neonatal-Perinatal Medicine

The NPI profile was previously updated about 19 years ago on Jul 08, 2007. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SRIDHAR PRASAD below.

NPI Profile for
SRIDHAR PRASAD

NPI Number
1477611325
Enumeration Date

(more than 19 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
SRIDHAR PRASAD
Credentials
MD
Primary location
500 JOHN DEERE ROAD
TRINITY 7TH STREET
MOLINE, IL 61265
Phone: (309) 779-5923 Fax:
Mailing address
555 VALLEY VIEW DRIVE
MOLINE, IL 61265
Phone: (309) 743-7326 Fax: (309) 765-7999
Sole Proprietor
No
Updated
Identifiers

Identifiers for SRIDHAR PRASAD

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDIA3076513
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2080N0001X
- Pediatrics / Neonatal-Perinatal Medicine (Primary)
IA 28327

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.