RAGHURAM PRASAD MD NPI 1508068081

NPI Information

NPI: 1508068081
Provider Name: RAGHURAM PRASAD, MD
Classification: Psychiatry & Neurology - 2084P0804X
Entity Type: Individual

Specialization: Child & Adolescent Psychiatry

Address:
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA
ZIP 19104
Phone: (215) 590-7555
Get Directions

Raghuram Prasad, MD is a child and adolescent psychiatry psychiatry neurology in Philadelphia, PA. The provider is child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. Raghuram Prasad, MD NPI is 1508068081. 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:

3401 CIVIC CENTER BLVD
PHILADELPHIA, PA
ZIP 19104-319
Phone: (215) 590-7555

The enumeration date for this NPI number is 6/5/2007 and was last updated on 1/9/2017.

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
1	2084P0800X	Psychiatry & Neurology	Psychiatry	2007015932	MISSOURI	No
2	2084P0800X	Psychiatry & Neurology	Psychiatry	036-116935	ILLINOIS	No
3	2084P0804X	Psychiatry & Neurology	Child & Adolescent Psychiatry	MD443889	PENNSYLVANIA	Yes
4	2084P0804X	Psychiatry & Neurology	Child & Adolescent Psychiatry	2007015932	MISSOURI	No

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
1	732001	OTHER	IOWA	BLUE CROSS BLUE SHIELD
2	152360561	MEDICARE UPIN	MISSOURI
3	036116935	MEDICAID	ILLINOIS
4	036-116935	OTHER	ILLINOIS	PHYSICIAN LICENSE
5	K46224	MEDICARE PIN	MASSACHUSETTS

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: 11/14/2023

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »