SRIDHAR PRASAD MD NPI 1477611325

NPI Information

  • NPI: 1477611325
  • Provider Name: SRIDHAR PRASAD, MD
  • Classification: Pediatrics - 2080N0001X
  • Specialization: Neonatal-Perinatal Medicine
  • Entity Type: Individual
  • Address: 500 JOHN DEERE ROAD
    TRINITY 7TH STREET
    MOLINE, IL
    ZIP 61265
  • Phone: (309) 779-5923

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NPI Details

Sridhar Prasad, MD is a neonatal-perinatal medicine pediatrics in Moline, IL. The provider is 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, MD NPI is 1477611325. 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:

500 JOHN DEERE ROAD
TRINITY 7TH STREET
MOLINE, IL
ZIP 61265
Phone: (309) 779-5923

The enumeration date for this NPI number is 12/4/2006 and was last updated on 7/8/2007.

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
12080N0001XPediatricsNeonatal-Perinatal Medicine28327IOWANo
22080N0001XPediatricsNeonatal-Perinatal MedicineILLINOISYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
13076513MEDICAIDIOWA

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: 11/21/2025

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