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Individual
PRAKASH S BEERAKA
Active
Individual
PRAKASH S BEERAKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
30937
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
005
BLUE CHOICE
SC
01
—
014
TRICARE
SC
01
—
18500
EVOLUTIONS
SC
01
—
20078271
SELECT HEALTH
SC
01
—
210717
MEDCOST
SC
01
—
2298624
CIGNA
SC
01
—
246983
UNISON
SC
05
—
309370
—
SC
05
—
5909956
—
NC
01
—
7135571
AETNA
SC
01
—
AA29248552
MEDICARE
SC
Enumeration date
01/25/2006
Last updated
02/01/2021
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