Shah, Prakash
Shah, Prakash is an sole proprietor health care provider with primary practice located at 1724 Kenton St Ste 1D, Hopkinsville KY 42240-1981. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Shah, Prakash can be contacted via phone (270) 887-9066.Contact Information
Primary practice address
1724 Kenton St Ste 1D
Hopkinsville KY 42240-1981
Phone: (270) 887-9066
Fax: (270) 887-9199
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 31011 | Kentucky |
Profile Details
| NPI number | 1902803513 |
|---|---|
| LBN Legal business name | Shah, Prakash |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 29th, 2005 |
| Last updated | May 21st, 2015 - about 11 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 | 1902803513 | NPPES |
| Kentucky | Other | 000000050781 | ANTHEM |
| Kentucky | Other | 110090936 | ANTHEM |
| Kentucky | Other | 1902803513 | ANTHEM |
| Kentucky | MEDICAID | 64310113 | ANTHEM |
| Kentucky | Other | 7493 | ANTHEM |
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