Individual
DR. PRASHANT K MUKERJEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
35673 COUNTRY PARK DR, WILDOMAR, CA 92595-7840
(951) 973-8130
(951) 808-0957
Mailing address
27890 CLINTON KEITH RD STE 2, MAIL BOX 380, MURRIETA, CA 92562-8571
(951) 973-8130
(951) 808-0957
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
C54408
CA
207RP1001X
Pulmonary Disease Physician
MD016833E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0005990740002
—
PA
01
—
0059907407
AMERICHOICE M/C & M.A.
PA
01
—
0061650000
INDEPENDENCE BLUE CROSS
PA
01
—
159440
HIGHMARK BLUE SHIELD
PA
01
—
2Y5985
ELDERHEALTH
PA
01
—
31903A
KEYSTONE MERCY HEALTH PLN
PA
01
—
DES140
OXFORD
PA
01
—
E55499
SENIORPARTNERS HEALTHPART
PA
Enumeration date
08/14/2006
Last updated
01/19/2017
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