Provider Demographics
NPI:1902888654
Name:PRASS, RICHARD L (MD)
Entity Type:Individual
Prefix:
First Name:RICHARD
Middle Name:L
Last Name:PRASS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:104 WOODMONT BLVD
Mailing Address - Street 2:SUITE LL-50
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37205-2245
Mailing Address - Country:US
Mailing Address - Phone:615-386-2398
Mailing Address - Fax:615-386-2399
Practice Address - Street 1:4230 HARDING RD
Practice Address - Street 2:SUITE 803
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37205-4900
Practice Address - Country:US
Practice Address - Phone:615-386-9089
Practice Address - Fax:615-386-2197
Is Sole Proprietor?:No
Enumeration Date:2005-11-17
Last Update Date:2008-05-20
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Provider Licenses
StateLicense IDTaxonomies
TNMD39073207YX0901X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207YX0901XAllopathic & Osteopathic PhysiciansOtolaryngologyOtology & Neurotology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN01160516OtherAMERIGROUP
TN4166591OtherBCBS OF TN
1952545OtherCIGNA
1071160OtherUSA MANAGED CARE
TN3325952Medicaid
TNTN0136OtherAMERICHOICE
4104278OtherAETNA
TNTN0136OtherAMERICHOICE
TN3325952Medicaid