| Doctor Name: | SUDHAMANI PRASAD |
| NPI Number: | 1871573113 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MD |
| License Number: | 35-043763 |
| Business Practice Address: | 6780 Mayfield Rd Mayfield Hts, OH - 441242203 |
| Business Phone Number: | 4404494500 |
| Business Fax Number: | |
| Mailing Address: | Po Box 74647, CLEVELAND |
| State: | OH |
| Postal Code: | 441940730 |
| Phone Number: | 4408790081 |
| Fax Number: | 4408790084 |
| NPI Enumeration Date: | 01/20/2006 |
| NPI Last Update Date: | 07/11/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 35-043763 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |