Individual provider · Type 1 NPI

Prasanna Vasudevan, MD

Diagnostic Radiology Physician · Garden City, NY

NPI number 1043470552 Active

Practice location

990 Stewart Ave, Suite 400
Garden City, NY 11530-4822

Fax (516) 222-8475

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000X25945255 (PA)
Diagnostic Radiology Physician Primary 2085R0202X269778 (OK)

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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About NPI 1043470552

Prasanna Vasudevan, MD's National Provider Identifier is 1043470552, issued on Jun 10, 2008. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Garden City, NY. The record was last updated on May 6, 2014.