Individual
DR. CHAKRAPANI PRAKASH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9 HOSPITAL DR, SUITE B2, TOMS RIVER, NJ 08755-6425
(732) 505-4420
(732) 505-0328
Mailing address
9 HOSPITAL DR, SUITE B2, TOMS RIVER, NJ 08755-6425
(732) 505-4420
(732) 505-0328
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
MA052242
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0349801
—
NJ
Enumeration date
10/11/2006
Last updated
07/15/2010
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