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Individual
DR. SHANTHI PRAKASH
Active
Individual
DR. SHANTHI PRAKASH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME84535
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
212789
WELLCARE MCARE
—
05
—
266979000
—
FL
01
—
29059
BCBS FL
FL
01
—
9119242
AETNA
—
01
—
945747001
CIGNA
—
01
—
P00013893
RR MCARE
—
Enumeration date
04/19/2006
Last updated
08/26/2022
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