Individual
DR. NEELAKANTAN VENKATARAMAN PRAKASH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1101 MADISON ST STE 900, SEATTLE, WA 98104-1347
(206) 215-6800
(206) 215-6801
Mailing address
PO BOX 25608, SALT LAKE CITY, UT 84125-0608
(206) 320-4476
(206) 568-7043
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD61045426
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1467848101
—
WA
05
—
RS2015-0367
—
NM
Enumeration date
04/09/2015
Last updated
09/18/2020
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