Radhika Prakash, Md

NPI 1164810503 - Internal Medicine - 207R00000X

NPI Details
NPI 1164810503
Enumeration Date 01/08/2015
Last Updated 01/08/2015
Entity Type Healthcare Provider
Active Over 1 year ago
Authorized Information
Name RADHIKA RADHIKA
Position MD
Phone (904) 797-2338
Fax (904) 797-2331
Practice Location
2758 US S 1 SOUTH
ST. AUGUSTINE FL, 32086, US
Phone (904) 797-2338
Fax (904) 797-2331
Business Location
PO BOX 860120
ST AUGUSTINE FL, 32086-0120, US
Phone (904) 797-2338
Fax (904) 797-2331
Toxanomy
Taxonomy Code 207R00000X
License State Florida
License Number ME0041524
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According to our database, Radhika Prakash, Md NPI is 1164810503, taxonomy code is 207R00000X and license number is ME0041524, license state is located at Florida. Radhika Prakash, Md physically located at 2758 Us S 1 South, St. Augustine FL, 32086. NPI Number 1033115704 has the healthcare provider type.

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1164810503 NPI number is provided on an as is basis without warranty of any kind. 1164810503 is maintained by the National Plan & Provider Enumeration System. The contents of Radhika Prakash, Md are for informational purposes only.