Organization
PRAKASH G. MAHALINGASHETTY, MD, PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PRAKASH G. MAHALINGASHETTY M.D. (PRESIDENT)
(606) 237-1129
Entity
Organization
Contact information
Practice address
306 HOSPITAL DR, SUITE 106, SOUTH WILLIAMSON, KY 41503-4095
(606) 237-1129
(606) 237-0331
Mailing address
306 HOSPITAL DR, SUITE 106, SOUTH WILLIAMSON, KY 41503-4095
(606) 237-1129
(606) 237-0331
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
19423
WV
208600000X
Surgery Physician
Primary
20904
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0125873000
—
WV
05
—
64209042
—
KY
01
—
7441
MEDICARE GROUP NUMBER
KY
Enumeration date
10/15/2007
Last updated
10/22/2007
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