Individual
SHAMSUDDIN C PRACHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8881 N MAIN ST, DAYTON, OH 45415-1333
(937) 832-5292
(937) 832-7505
Mailing address
PO BOX 634857, CINCINNATI, OH 45263-4857
(937) 832-5292
(937) 832-7505
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
35.078920
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2600733
—
OH
Enumeration date
05/25/2006
Last updated
01/05/2021
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