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DR. GARY C. PRADA M.D. NPI 1154313062


NPI Information

NPI: 1154313062
Provider Name: DR. GARY C. PRADA, M.D.
Classification: Internal Medicine - 207R00000X
Entity Type: Individual
Address:
11055 LITTLE PATUXENT PKWY
SUITE 104
COLUMBIA, MD
ZIP 21044
Phone: (410) 740-2900
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DR. Gary C. Prada, M.D. is an internal medicine in Columbia, MD. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. DR. Gary C. Prada, M.D. NPI is 1154313062. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

11055 LITTLE PATUXENT PKWY
SUITE 104
COLUMBIA, MD
ZIP 21044-896
Phone: (410) 740-2900
Fax: (410) 740-2955

The enumeration date for this NPI number is 8/17/2005 and was last updated on 1/24/2011.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207R00000XInternal MedicineD0022587MARYLANDYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1843371OTHERMARYLANDMAMSI PRIMARY CARE
2P12723OTHERMARYLANDCAREFIRST MPOS
3D76309MEDICARE UPIN
4443211800MEDICAIDMARYLAND
53509-0005OTHERMARYLANDCAREFIRST BLUECHOICE
6226L735TMEDICARE PINMARYLAND
7110140826OTHERMARYLANDRR MEDICARE
8524039-01OTHERMARYLANDCAREFIRST MD RENDERING
9243371OTHERMARYLANDMAMSI SPECIALIST
10024210OTHERMARYLANDJHHC PROVIDER NUMBER
110477640OTHERMARYLANDAETNA CAPITATED
121342957OTHERMARYLANDCIGNA PIN
134238655OTHERMARYLANDAETNA FEE FOR SERVICE

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: 4/28/2024

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