Gary C. Prada in Columbia - Internal Medicine

Gary C. Prada - NPI 1154313062

Gary C. Prada is a Internal Medicine in Columbia, Maryland. Gary C. Prada practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Gary C. Prada is 1154313062. The last update date is 2011-01-24.

Gary C. Prada's current location address is 11055 Little Patuxent Pkwy, Columbia, Maryland. You can contact this provider via phone number 4107402900 and fax number 4107402955. The mailing address for Gary C. Prada is 11055 Little Patuxent Pkwy, Columbia, Maryland. To know further, please read the information below!

Provider Profile Detail

Provider Name Gary C. Prada
Address 11055 Little Patuxent Pkwy, Columbia, Maryland
Phone Number 4107402900
Fax Number 4107402955
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1154313062
Provider Enumeration Date 2005-08-17
Last Updated Date 2011-01-24

Provider Mailing Address Detail

Address 11055 Little Patuxent Pkwy
City Columbia
State Maryland (MD)
Post Code 210442896
Phone Number 4107402900
Fax Number 4107402955

Provider's Primary Taxonomy Detail

Speciality Internal Medicine
Taxonomy 207R00000X
Licence No D0022587
Definition:
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 di

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1342957 MD CIGNA PIN
243371 MD MAMSI SPECIALIST
443211800 MD --
3509-0005 MD CAREFIRST BLUECHOICE
4238655 MD AETNA FEE FOR SERVICE
24210 MD JHHC PROVIDER NUMBER
477640 MD AETNA CAPITATED
843371 MD MAMSI PRIMARY CARE
110140826 MD RR MEDICARE
524039-01 MD CAREFIRST MD RENDERING

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FAQs about Gary C. Prada

What is the unique 10-digit identification code assigned to Gary C. Prada by the Centers for Medicare & Medicaid Services?

The Gary C. Prada has been issued the NPI (National Provider Identifier) 1154313062, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Where is the Gary C. Prada located?

The Gary C. Prada is located at 11055 Little Patuxent Pkwy, Columbia, MD 210442896.

What is Gary C. Prada's area of expertise and its corresponding taxonomy classification?

The Gary C. Prada's field of specialization is Internal Medicine, and it falls under the taxonomy code 207R00000X, which categorizes healthcare providers based on their areas of practice.

When did the Gary C. Prada receive its 1154313062?

The Gary C. Prada was issued its 1154313062 on 2005-08-17, which is the date when the organization was assigned this unique identifier.

As of what date were the details pertaining to Gary C. Prada last refreshed?

The information related to the Gary C. Prada, including its address, specialty, and other relevant details, was last updated on 2011-01-24.

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