Bhoopalam, Prakash S

Bhoopalam, Prakash S is an individual health care provider with primary practice located at 2525 W University Ave Suite 404, Muncie IN 47303. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine. Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine is his primary health care specialty. Bhoopalam, Prakash S can be contacted via phone (765) 231-9494.

Contact Information

Primary practice address
2525 W University Ave Suite 404 Muncie IN 47303
Phone: (765) 231-9494
Fax: (765) 587-4456
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 01040631A Indiana
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X 01040631A Indiana

Profile Details

NPI number 1942208905
LBN Legal business name Bhoopalam, Prakash S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2005
Last updated Nov 15th, 2021 - about 3 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 1942208905 NPPES
Indiana MEDICAID 100362560

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