# PRIMARY CARE GYN, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1477991495
- **Authorized official:** DR. ARAKERE B PRASAD M.D. (OWNER / MANAGER)
- **Authorized official phone:** (340) 718-7788

## Contact information

- **Practice address:** 4040 ESTATE LA GRANDE PRINCESS, SUITE 1, CHRISTIANSTED, VI 00820-5165
- **Practice address phone:** (340) 718-7788
- **Practice address fax:** (340) 718-9130
- **Mailing address:** 4040 ESTATE LA GRANDE PRINCESS, SUITE 1, CHRISTIANSTED, VI 00820-5165
- **Mailing address phone:** (340) 718-7788
- **Mailing address fax:** (340) 718-9130

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | 621 | VI | — |
| 367A00000X | Advanced Practice Midwife | 11029P | VI | Yes |

## Other

- **Enumeration date:** 06/12/2013
- **Last updated:** 06/12/2013