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Individual
PRANAV PRAKASH
Active
Individual
PRANAV PRAKASH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01075184A
IN
207Q00000X
Family Medicine Physician
125060949
IL
Other
Enumeration date
07/29/2012
Last updated
02/17/2021
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