| Doctor Name: | DR. RANGACHAR KESHAVA PRASAD |
| NPI Number: | 1124276290 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | A35978 |
| Business Practice Address: | 4578 Reliant Rd Jamesville, NY - 130786501 |
| Business Phone Number: | 8605249290 |
| Business Fax Number: | |
| Mailing Address: | 4578 Reliant Rd, JAMESVILLE |
| State: | NY |
| Postal Code: | 130786501 |
| Phone Number: | 8605249290 |
| Fax Number: | |
| NPI Enumeration Date: | 09/03/2008 |
| NPI Last Update Date: | 03/16/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207RA0000X |
| License Number: | A35978 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Internal Medicine |
| Taxonomy Specialization: | Adolescent Medicine |
| Taxonomy Definition: | An internist who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |