Provider Demographics
NPI:1174074108
Name:PRASAD, DREW FRIEDRICHS (PA-C)
Entity type:Individual
Prefix:MRS
First Name:DREW
Middle Name:FRIEDRICHS
Last Name:PRASAD
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3000 N IH 35 STE 708
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78705-1860
Mailing Address - Country:US
Mailing Address - Phone:512-347-7463
Mailing Address - Fax:737-202-2561
Practice Address - Street 1:3000 N IH 35 STE 708
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78705-1860
Practice Address - Country:US
Practice Address - Phone:125-347-7463
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-10-14
Last Update Date:2025-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXPA13165363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC2822PAMedicaid
SC2822PAMedicaid