Yakkundi, Prakash K

Yakkundi, Prakash K is an individual health care provider with primary practice located at 12408 Hesperia Rd Suite 2, Victorville CA 92395-7718. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Yakkundi, Prakash K can be contacted via phone (760) 553-7000.

Contact Information

Primary practice address
12408 Hesperia Rd Suite 2 Victorville CA 92395-7718
Phone: (760) 553-7000
Fax: (760) 261-6451
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 35-042385 Ohio
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X C54968 California

Profile Details

NPI number 1851350771
LBN Legal business name Yakkundi, Prakash K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 20th, 2006
Last updated May 5th, 2014 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1851350771 NPPES
Ohio MEDICAID 0399724
Ohio Other 34127919700

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