Basic Information
| Provider Information | |||||||||
| NPI: | 1356515787 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | PRASAD | ||||||||
| FirstName: | SENDIL KUMAR HARI | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | M.D | ||||||||
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| Mailing Information | |||||||||
| Address1: | 146 E HOSPITAL DR | ||||||||
| Address2: | |||||||||
| City: | ANGLETON | ||||||||
| State: | TX | ||||||||
| PostalCode: | 775154169 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9798486050 | ||||||||
| FaxNumber: | 9798486051 | ||||||||
| Practice Location | |||||||||
| Address1: | 132 E HOSPITAL DR | ||||||||
| Address2: | |||||||||
| City: | ANGLETON | ||||||||
| State: | TX | ||||||||
| PostalCode: | 775154112 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9798497721 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/16/2008 | ||||||||
| LastUpdateDate: | 08/14/2022 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 08/14/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | MD445147 | PA | N | Allopathic & Osteopathic Physicians | Internal Medicine | 207RC0000X | MT190374 | PA | N | Allopathic & Osteopathic Physicians | Internal Medicine | Cardiovascular Disease | 207RC0000X | 45075 | TX | N | Allopathic & Osteopathic Physicians | Internal Medicine | Cardiovascular Disease | 208M00000X | E 6631 | AR | N | Allopathic & Osteopathic Physicians | Hospitalist | 207RC0000X | Q5536 | TX | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Cardiovascular Disease |
ID Information
| ID | Type | State | Issuer | Description | 186040001 | 05 | AR | MEDICAID |