Individual
DR. NIKHITA KATHURIA-PRAKASH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
795 SW STATE ROAD 47, LAKE CITY, FL 32025-0453
(386) 401-7066
(833) 933-0709
Mailing address
PO BOX 102222, ATLANTA, GA 30368-2222
(239) 274-8200
Taxonomy
Speciality
Code
Description
License number
State
207RH0000X
Hematology (Internal Medicine) Physician
ME171404
FL
207RX0202X
Medical Oncology Physician
Primary
ME171404
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
126538100
—
FL
Enumeration date
03/21/2019
Last updated
07/01/2025
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