Individual
SAMANTHA PRABAKARAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7901 ACC BLVD STE 200, RALEIGH, NC 27617-4730
(919) 861-4494
Mailing address
7901 ACC BLVD STE 200, RALEIGH, NC 27617-4730
Taxonomy
Speciality
Code
Description
License number
State
207WX0200X
Ophthalmic Plastic and Reconstructive Surgery Physician
Primary
0116034573
VA
Other
Enumeration date
06/15/2020
Last updated
06/26/2024
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