Individual
PRAKASH SHRESTHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4102 24TH ST STE 403, LUBBOCK, TX 79410-1804
(806) 725-7150
(806) 723-6136
Mailing address
2215 NASHVILLE AVE, LUBBOCK, TX 79410-1105
(806) 725-4800
(806) 723-6532
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MT194269
PA
207RI0200X
Infectious Disease Physician
Primary
R0129
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
582318YKT8
MEDICARE
TX
01
—
8GX844
BCBX
TX
Enumeration date
08/11/2009
Last updated
07/21/2022
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