Samantha Prabakaran, MD
Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery in Raleigh, NC. Individual provider (NPI-1).
NPI number1164047122
StatusActive
Last updated in NPPESJun 26, 2024
Details
- NPI
- 1164047122
- Entity type
- Individual (NPI-1)
- Name
- Samantha Prabakaran
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 15, 2020
- Certification date
- Jun 26, 2024
- Last updated
- Jun 26, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207WX0200X | Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery | 0116034573 | VA | Yes |
Practice location
7901 Acc Blvd Ste 200Raleigh, NC 27617-4730
Phone 919-861-4494
Mailing address
7901 Acc Blvd Ste 200Raleigh, NC 27617-4730
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