Individual
ANITA PRAKASH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2384 COLONY CROSSING PL, MIDLOTHIAN, VA 23112-4280
(804) 423-7506
(804) 423-3637
Mailing address
2384 COLONY CROSSING PL, MIDLOTHIAN, VA 23112-4280
(804) 423-7506
(804) 423-3637
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD-15756
HI
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
0101249497
VA
208M00000X
Hospitalist Physician
MD-15756
HI
390200000X
Student in an Organized Health Care Education/Training Program
0116019658
VA
Other
Enumeration date
06/29/2007
Last updated
07/01/2013
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