Individual
ALKA PRASAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4420 LAKE BOONE TRL, RALEIGH, NC 27607-7505
(919) 784-3100
Mailing address
4420 LAKE BOONE TRL, RALEIGH, NC 27607-7505
(919) 784-3100
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
200500098
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1387K
BLUE CROSS BLUE SHIELD
NC
05
—
5902040
—
NC
01
—
P00470735
RAIL ROAD MEDICARE #
—
Enumeration date
06/28/2005
Last updated
03/29/2021
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