Prakash, Supraja

Prakash, Supraja is an individual health care provider with primary practice located at 1920 E Cambridge Ave. Rosenberg Bldg., Suite 304, Phoenix AZ 85006. She recently has only one registered license in Other Service Providers / Genetic Counselor, MS, which is considered as her primary health care specialty. Prakash, Supraja can be contacted via phone (602) 933-5503.

Contact Information

Primary practice address
1920 E Cambridge Ave. Rosenberg Bldg., Suite 304 Phoenix AZ 85006
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Genetic Counselor, MS 170300000X

Profile Details

NPI number 1023638582
LBN Legal business name Prakash, Supraja
Credentials MS, CGC
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 24th, 2020
Last updated Apr 24th, 2020 - 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.

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