| Smriti Prasad, | |
|
4120 San Antonio, Odessa, TX 79765 | |
| (432) 333-9200 | |
| (432) 333-9300 |
| Full Name | Smriti Prasad |
|---|---|
| Gender | Female |
| Speciality | Dermatology - Mohs-micrographic Surgery |
| Location | 4120 San Antonio, Odessa, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316568538 | NPI | - | NPPES |
| 0049204 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207N00000X | Dermatology | V4728 (Texas) | Secondary |
| 207ND0101X | Dermatology - Mohs-micrographic Surgery | V4728 (Texas) | Primary |
| Entity Name | Toledo Clinic Incorporated |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669423455 PECOS PAC ID: 5698673382 Enrollment ID: O20040617001265 |
| Entity Name | Toledo Clinic Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326538703 PECOS PAC ID: 8426585142 Enrollment ID: O20241223002570 |
| Mailing Address | Practice Location Address |
|---|---|
| Smriti Prasad, 14 Mission Santiago Dr, Odessa, TX 79765-8508 Ph: (432) 333-9200 | Smriti Prasad, 4120 San Antonio, Odessa, TX 79765 Ph: (432) 333-9200 |
Dr. Renato Marquez Oracion, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 808 Tower Dr, Suite 3, Odessa, TX 79761 Phone: 432-582-0370 | |
Dr. Ritchie Oliver Rosso Jr., M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 4040 Medical Park Dr, Odessa, TX 79765 Phone: 432-333-6603 Fax: 432-333-8014 | |
Kris Howard, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 8141 Dorado Drive, Odessa, TX 79765 Phone: 432-563-3113 Fax: 432-563-4206 | |
Mr. Nathan Rosso, PA-C Dermatology Medicare: Accepting Medicare Assignments Practice Location: 4040 Medical Park Dr, Odessa, TX 79765 Phone: 432-333-6603 | |
Dr. Premalatha Vindhya, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2479 E 11th St, Odessa, TX 79761 Phone: 432-333-1901 Fax: 432-520-5914 |