K.S.Prakash PC
Family Medicine in Bronx, NY. Organization (NPI-2).
NPI number1508043993
StatusActive
Last updated in NPPESJan 28, 2008
Details
- NPI
- 1508043993
- Entity type
- Organization (NPI-2)
- Legal business name
- K.S.Prakash PC
- Organization subpart
- No
- Enumeration date
- Jan 28, 2008
- Last updated
- Jan 28, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 130852 | NY | Yes |
Practice location
2358 Crotona AveBronx, NY 10458-8571
Phone 718-733-2600 · Fax 718-562-2281
Mailing address
2358 Crotona AveBronx, NY 10458-8571
Phone 718-733-2600 · Fax 718-562-2281
Authorized official
Prakash S Kancherla
President
7187332600
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