Individual
DR. PRACHI RANA GARODIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
8495 CRATER LAKE HWY, WHITE CITY, OR 97503-3011
(541) 826-2111
Mailing address
2620 EAST BARNETT ROAD SUITE H, MEDFORD, OR 97504-8383
(541) 789-4281
(541) 789-5538
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
K7377
TX
207R00000X
Internal Medicine Physician
Primary
MD150163
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
218103
—
OR
05
—
218105
—
OR
Enumeration date
08/04/2006
Last updated
09/01/2019
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