Dr. Raksha Gauri Prabhulal, MD
Psychiatry & Neurology, Psychiatry in Bridgeport, CT. Individual provider (NPI-1).
NPI number1144366378
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1144366378
- Entity type
- Individual (NPI-1)
- Name
- Dr. Raksha Gauri Prabhulal
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 29, 2007
- Last updated
- Jul 8, 2007
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PSYCHIATRY
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology, Psychiatry | 037067 | CT | Yes |
Practice location
1635 Central Avenue Room 213Southwest Connecticut Mental Health System
Bridgeport, CT 06610
Phone 203-551-7660 · Fax 203-551-7481
Mailing address
1635 Central Avenue Room 213Southwest Ct Mental Health System
Bridgeport, CT 06610
Phone 203-551-7660 · Fax 203-551-7481
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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