Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Prasanna Vasudevan, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1043470552

Prasanna Vasudevan, MD is a Student in an Organized Health Care Education/Training Program in Garden City, New York. Licensed in Oklahoma and Pennsylvania. Registered with an NPI since 2008.

Licensed in
OK, PA
In the registry since
2008
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

990 Stewart Ave Ste 400
Garden City, NY 11530-4822
Phone: (516) 222-2022
Fax: (516) 222-8475
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 269778 (OK)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence 25945255 (PA)

Record details

NPI number1043470552
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 10, 2008
Last updated in NPPESMay 6, 2014

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