Nancherla, Prakash R

Nancherla, Prakash R is an individual health care provider with primary practice located at 102 Palo Alto Rd Suite 200, San Antonio TX 78211-3758. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Nancherla, Prakash R can be contacted via phone (210) 403-0765.

Contact Information

Primary practice address
102 Palo Alto Rd Suite 200 San Antonio TX 78211-3758
Phone: (210) 403-0765
Fax: (210) 547-9270
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X G7697 Texas

Profile Details

NPI number 1811994601
LBN Legal business name Nancherla, Prakash R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2005
Last updated Aug 13th, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811994601 NPPES
Texas MEDICAID 123185405
Texas Other P01258507

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