Individual
RAJAN PRAKASH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD MPH
Contact information
Practice address
234 GOODMAN ST, HOSPITALIST ML 670, CINCINNATI, OH 45219-2364
(513) 584-7545
(513) 584-0851
Mailing address
2830 VICTORY PKWY, CINCINNATI, OH 45206-1785
(513) 585-5504
(513) 584-0851
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35-098699
OH
208M00000X
Hospitalist Physician
35-098699
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0075830
—
OH
05
—
201129820
—
IN
05
—
7100232560
—
KY
01
—
P01245018
RAILROAD MEDICARE
OH
Enumeration date
11/09/2010
Last updated
01/25/2017
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