Prakash, Priya

Prakash, Priya is an individual health care provider with primary practice located at 2741 Citrus Tower Blvd , Clermont FL 34711-6699. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Rheumatology. Allopathic & Osteopathic Physicians / Rheumatology is her primary health care specialty. Prakash, Priya can be contacted via phone (352) 717-0603.

Contact Information

Primary practice address
2741 Citrus Tower Blvd Clermont FL 34711-6699
Phone: (352) 717-0603
Fax: (352) 717-0604
Website:
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Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X ME144273 Florida
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X 32647 Oklahoma

Profile Details

NPI number 1225374085
LBN Legal business name Prakash, Priya
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 26th, 2012
Last updated Jun 3rd, 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 1225374085 NPPES
Florida MEDICAID 109171000

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