Radhika Prakash, Md

LBN: Radhika Prakash, Md
Radhika Prakash, Md is an health care organization with primary practice located at 2758 Us S 1 South , St. Augustine FL 32086. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Radhika Prakash, Md can be contacted via phone (904) 797-2338, or through Prakash, Radhika via phone (904) 797-2338.

Contact Information

Primary practice address
2758 Us S 1 South St. Augustine FL 32086
Phone: (904) 797-2338
Fax: (904) 797-2331
Website:
Map and Directions
Authorized official contact:
Name: Prakash, Radhika
Phone: (904) 797-2338

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME0041524 Florida

Profile Details

NPI number 1164810503
LBN Legal business name Radhika Prakash, Md
DBA Doing business as
Authorized official Prakash, Radhika
Entity Organization
Organization subpart 1 No
Enumeration date Jan 8th, 2015
Last updated Jan 8th, 2015 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164810503 NPPES
Florida Other 55118 BLUE CROSS BLUE SHIELD
Florida MEDICAID 009180500 BLUE CROSS BLUE SHIELD

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