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Contact Information

RADHIKA PRAKASH, MD
2758 US S 1 SOUTH
SAINT AUGUSTINE, FL32086
 Phone: 904-797-2338
 Fax: 904-797-2331
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for RADHIKA PRAKASH MD · (Female)

NPI # 1164810503
Status Active
Credentials
Entity Individual
Enumeration date 01/08/2015
Last updated 01/08/2015 - About 11 years ago
Sole proprietor 1 Not specified
Identifiers
  • FL License # ME0041524
  • FL Medicaid 009180500
  • FL Other 55118 BLUE CROSS BLUE SHIELD
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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