DR. MIRAMAR S PRASAD MD
NPI 1235105826
Pediatrics in Moline, IL

Q: What is Miramar Prasad's NPI number?

The NPI number for Miramar Prasad is 1235105826. It was assigned to this individual provider in the NPPES registry on February 24, 2006.

Q: What is Miramar Prasad's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Miramar Prasad was last updated on January 15, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since February 24, 2006

5401 44TH AVENUE DRIVE, SUITE 100, MOLINE, IL 51265(309) 779-5439(309) 558-7026 Get Directions Write a Review

NPPES record last updated: January 15, 2014. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Dr. Miramar S Prasad Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MIRAMAR S PRASAD MD (NPI 1235105826) is an individual pediatrics provider in Moline, Illinois, licensed in Illinois (036084335) and active in the NPI registry since February 2006.

NPPES Registry Identity

NPI1235105826

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameDR. MIRAMAR S PRASADCredential: MD

Location Address5401 44TH AVENUE DRIVE, SUITE 100Moline, IL 51265-6401

Mailing Address5401 44th Avenue Drive, Suite 100Moline, IL 51265-6401 · (309) 779-5439 · Fax (309) 558-7026

Phone(309) 779-5439

Fax(309) 558-7026

Sole ProprietorNo

Enumeration DateFebruary 24, 2006

Last NPPES UpdateJanuary 15, 2014

✔ NPI 1235105826 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in IL · 036084335

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Also ListedFamily MedicineTaxonomy 207Q00000X · License 036084335 (IL)

5401 44TH AVENUE DRIVE, Moline, IL 51265

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Other Identifiers 7

Medicare PIN200715022IL

Medicare ID-Type Unspecified1924712IA · Ia Medicaid E Moline

Medicaid1235105826IL

Medicare ID-Type UnspecifiedL81702Individual

Medicare ID-Type Unspecified036084335IL · Ipa

Medicaid2924712IA

Medicare ID-Type Unspecified370022545Rr Medicare

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Miramar Prasad's NPI number?

The NPI number for Miramar Prasad is 1235105826. It was assigned to this individual provider in the NPPES registry on February 24, 2006.

Where is Miramar Prasad located?

Miramar Prasad practices at 5401 44th Avenue Drive Suite 100, Moline, IL 51265. The listed phone number is (309) 779-5439.

What is Miramar Prasad's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

When was this NPI record last updated?

The NPPES record for Miramar Prasad was last updated on January 15, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.