Individual
DR. PRAJEESH KANDOTH KARERAT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
PEACEHEALTH HOSPITAL MEDICINE, 3377 RIVERBEND DRIVE, SPRINGFIELD, OR 97477-8803
(541) 222-6389
(541) 222-6385
Mailing address
PEACEHEALTH HOSPITAL MEDICINE, 3377 RIVERBEND DRIVE, SPRINGFIELD, OR 97477-8803
(541) 222-6389
(541) 222-6385
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MT 197206
PA
207R00000X
Internal Medicine Physician
P5656
TX
208M00000X
Hospitalist Physician
Primary
MD184787
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500739428
—
OR
Enumeration date
07/20/2010
Last updated
07/25/2023
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