Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RN0300X | Nephrologist | 12285 | NV |
NPI | 1003923319 |
---|---|
Provider Name | Dr. Darbha Rao Prasad |
First Address | Las Vegas, NV 89106-4844 |
Second Address | Las Vegas, NV 89106-4844 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/08/2006 |
Last Update Date | 27/12/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1003923319 | (05) | NV |