Beeraka, Prakash S
Beeraka, Prakash S is an individual health care provider with primary practice located at 101 South Ravenel Street Suite 160, Florence SC 29506-2610. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Beeraka, Prakash S can be contacted via phone (843) 662-1533.Contact Information
Primary practice address
101 South Ravenel Street Suite 160
Florence SC 29506-2610
Phone: (843) 662-1533
Fax: (843) 679-7273
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 30937 | South Carolina |
Profile Details
| NPI number | 1124098868 |
|---|---|
| LBN Legal business name | Beeraka, Prakash S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 25th, 2006 |
| Last updated | Feb 1st, 2021 - about 4 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 | 1124098868 | NPPES |
| South Carolina | Other | 18500 | EVOLUTIONS |
| South Carolina | Other | 7135571 | EVOLUTIONS |
| South Carolina | Other | 005 | EVOLUTIONS |
| South Carolina | Other | 014 | EVOLUTIONS |
| South Carolina | MEDICAID | 5909956 | EVOLUTIONS |
| South Carolina | Other | 20078271 | EVOLUTIONS |
| South Carolina | Other | 210717 | EVOLUTIONS |
| South Carolina | MEDICAID | 309370 | EVOLUTIONS |
| South Carolina | Other | 2298624 | EVOLUTIONS |
| South Carolina | Other | 005 | EVOLUTIONS |
| South Carolina | Other | 005 | EVOLUTIONS |
| South Carolina | Other | 246983 | EVOLUTIONS |
| South Carolina | Other | AA29248552 | EVOLUTIONS |
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