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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

NPI # 1164810503
LBN Legal business name RADHIKA PRAKASH, MD
Authorized official RADHIKA PRAKASH - (MD)
Entity Organization
Organization subpart 1 No
Enumeration date 01/08/2015
Last updated 01/08/2015 - About 11 years ago
Identifiers
FL License # ME0041524
FL Medicaid 009180500
FL Other 55118 BLUE CROSS BLUE SHIELD
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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