Individual
MR. PRANAV PRAKASH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1077 GATEWAY LOOP, SPRINGFIELD, OR 97477-1114
(541) 485-6478
(541) 868-9606
Mailing address
1077 GATEWAY LOOP, SPRINGFIELD, OR 97477-1114
(541) 485-6478
(541) 868-9606
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
MD229125
OR
390200000X
Student in an Organized Health Care Education/Training Program
Primary
TRN33916
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/25/2021
Last updated
05/04/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us