Individual
DR. ANANTH N PRAKASH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MBBS
Contact information
Practice address
246 HAMBURG TPKE, UNIT 207, WAYNE, NJ 07470-2150
(973) 653-3366
(973) 653-3365
Mailing address
246 HAMBURG TURNPIKE, UNIT 207, WAYNE, NJ 07470
(973) 653-3366
(973) 653-3365
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
MA30324
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0072037000
AMERIHEALTH
NJ
01
—
0K2307
HEALTHNET
NJ
01
—
1042675
HORIZON NJ HEALTH
NJ
01
—
12037
AMERIGROUP
NJ
01
—
1530046
CIGNA
NJ
01
—
221963249
QUALCARE
NJ
05
—
3583406
—
NJ
01
—
4094510
AETNA
NJ
01
—
550478
UNITED HEALTHCARE
NJ
01
—
5710247
GHI
NJ
01
—
BE000008400
AMERICHOICE
NJ
01
—
CC8414
RAILROAD MEDICARE
NJ
01
—
P1831232
OXFORD
NJ
Enumeration date
08/30/2006
Last updated
10/18/2011
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