# K.S.PRAKASH PC

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

## Provider details

- **NPI number:** 1508043993
- **Authorized official:** DR. PRAKASH S KANCHERLA M.D. (PRESIDENT)
- **Authorized official phone:** (718) 733-2600

## Contact information

- **Practice address:** 2358 CROTONA AVE, BRONX, NY 10458-8571
- **Practice address phone:** (718) 733-2600
- **Practice address fax:** (718) 562-2281
- **Mailing address:** 2358 CROTONA AVE, BRONX, NY 10458-8571
- **Mailing address phone:** (718) 733-2600
- **Mailing address fax:** (718) 562-2281

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 130852 | NY | Yes |

## Other

- **Enumeration date:** 01/28/2008
- **Last updated:** 01/28/2008