Individual
MR. NAGAPPA S PRAKASH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3815 E BELL RD, 3400, PHOENIX, AZ 85032-2164
(602) 971-2761
(602) 971-1529
Mailing address
3815 E BELL RD, 3400, PHOENIX, AZ 85032-2164
(602) 971-2761
(602) 971-1529
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
19925
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
219239
—
AZ
Enumeration date
12/16/2005
Last updated
04/23/2019
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