PRASANNA VASUDEVAN MD NPI 1043470552

NPI Information

  • NPI: 1043470552
  • Provider Name: PRASANNA VASUDEVAN, MD
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 990 STEWART AVE
    SUITE 400
    GARDEN CITY, NY
    ZIP 11530
  • Phone: (516) 222-2022

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NPI Details

Prasanna Vasudevan, MD is a diagnostic radiology radiology in Garden City, NY. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Prasanna Vasudevan, MD NPI is 1043470552. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

990 STEWART AVE
SUITE 400
GARDEN CITY, NY
ZIP 11530-822
Phone: (516) 222-2022
Fax: (516) 222-8475

The NPI 1043470552 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 6/10/2008 and was last updated on 5/6/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1390200000XStudent in an Organized Health Care Education/Training Program25945255PENNSYLVANIANo
22085R0202XRadiologyDiagnostic Radiology269778OKLAHOMAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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