Individual
PRAKASH S MUKTAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11105 N 160TH ST, BENNINGTON, NE 68007-1963
(402) 714-6637
Mailing address
11105 N 160TH ST, BENNINGTON, NE 68007-1963
(402) 714-6637
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
—
NE
Other
Enumeration date
01/16/2026
Last updated
01/16/2026
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