Prakash, Om

Prakash, Om is an sole proprietor health care provider with primary practice located at 18056 Wika Rd Suite B, Apple Valley CA 92307-2125. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics, Other Service Providers / Specialist. Allopathic & Osteopathic Physicians / Obstetrics is his primary health care specialty. Prakash, Om can be contacted via phone (760) 242-2223.

Contact Information

Primary practice address
18056 Wika Rd Suite B Apple Valley CA 92307-2125
Phone: (760) 242-2223
Fax: (760) 242-1293
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics 207VX0000X A39024 California
Other Service Providers / Specialist 174400000X A39024 California

Profile Details

NPI number 1184696007
LBN Legal business name Prakash, Om
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 3rd, 2006
Last updated Jan 25th, 2024 - about 2 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 1184696007 NPPES
California MEDICAID 00A390240

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