Prakash, Pranav
Prakash, Pranav is an sole proprietor health care provider with primary practice located at 2600 Greenbush St , Lafayette IN 47904-2477. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Prakash, Pranav can be contacted via phone (765) 448-8000.Contact Information
Primary practice address
2600 Greenbush St
Lafayette IN 47904-2477
Phone: (765) 448-8000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 125060949 | Illinois |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 01075184A | Indiana |
Profile Details
| NPI number | 1568718476 |
|---|---|
| LBN Legal business name | Prakash, Pranav |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 29th, 2012 |
| Last updated | Feb 17th, 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 | 1568718476 | NPPES |
| Indiana | Other | 000000977223 | ANTHEM |
| Indiana | MEDICAID | 201305970 | ANTHEM |
| Indiana | Other | 000001011883 | ANTHEM |
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