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Individual

HEMANT PRAKASH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1040 VINEHAVEN DRIVE, CONCORD, NC 28025
(704) 784-1010
(704) 784-1013
Mailing address
1040 VINEHAVEN DRIVE, CONCORD, NC 28025
(704) 784-1010
(704) 784-1013

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
31891
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
043591082
COMMERCIALS
NC
01
68989
BCBS
NC
05
8968989
NC
Enumeration date
07/09/2006
Last updated
01/25/2011
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