Individual
PRAKASH THAPALIYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M,D.
Contact information
Practice address
1615 DELAWARE ST, LONGVIEW, WA 98632
(360) 414-7878
Mailing address
1615 DELAWARE ST, LONGVIEW, WA 98632-2367
(360) 414-7878
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MT185593
PA
207RH0003X
Hematology & Oncology Physician
40088
AZ
207RH0003X
Hematology & Oncology Physician
Primary
MD60366192
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2029281
—
WA
05
—
356900
—
AZ
01
—
P00625196
RAILROAD MEDICARE
AZ
Enumeration date
05/18/2007
Last updated
03/24/2025
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