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Individual

DR. PRASHANT VASANT PHATAK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
VA LOMA LINDA, 11201 BENTON ST, DEPT 111H, LOMA LINDA, CA 92357-0001
(909) 825-7084
Mailing address
VA LOMA LINDA, 11201 BENTON ST, DEPT 111H, LOMA LINDA, CA 92357-0001
(909) 825-7084

Taxonomy

Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
A74099
CA

Other

Enumeration date
08/08/2006
Last updated
05/08/2025
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