Pedapati, Prakash
Pedapati, Prakash is an individual health care provider with primary practice located at 3535 N Bell School Rd , Rockford IL 61114. He recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as his primary health care specialty. Pedapati, Prakash can be contacted via phone (779) 696-9400.Contact Information
Primary practice address
3535 N Bell School Rd
Rockford IL 61114
Phone: (779) 696-9400
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Radiation Oncology | 2085R0001X | 036058366 | Illinois |
Profile Details
| NPI number | 1295753259 |
|---|---|
| LBN Legal business name | Pedapati, Prakash |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 18th, 2006 |
| Last updated | Feb 22nd, 2021 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1295753259 | NPPES |
| Illinois | MEDICAID | 036058366 |
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