# DR. PRAKASH VISWANATHAN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1649428574
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 250191 | NY | — |
| 207RG0100X | Gastroenterology Physician | 250191 | NY | — |
| 207RG0100X | Gastroenterology Physician | 62460 | MN | — |
| 207RG0100X | Gastroenterology Physician | MD23388 | ME | Yes |

## Other

- **Enumeration date:** 09/04/2008
- **Last updated:** 07/21/2022