Prakash, Radhika
Prakash, Radhika is an sole proprietor health care provider with primary practice located at 2758 Us 1 South , St Augustine FL 32086. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Prakash, Radhika can be contacted via phone (904) 797-2338.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ME0041524 | Florida |
Profile Details
| NPI number | 1669482170 |
|---|---|
| LBN Legal business name | Prakash, Radhika |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 8th, 2006 |
| Last updated | Apr 7th, 2010 - about 14 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 | 1669482170 | NPPES |
| Florida | MEDICAID | 058034100 |
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