Organization
K.S.PRAKASH PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PRAKASH S KANCHERLA M.D. (PRESIDENT)
(718) 733-2600
Entity
Organization
Contact information
Practice address
2358 CROTONA AVE, BRONX, NY 10458-8571
(718) 733-2600
(718) 562-2281
Mailing address
2358 CROTONA AVE, BRONX, NY 10458-8571
(718) 733-2600
(718) 562-2281
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
130852
NY
Other
Enumeration date
01/28/2008
Last updated
01/28/2008
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