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Individual

SUMA PRAKASH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD, MSC, FRCPC

Contact information

Practice address
601 ELMWOOD AVE, ROCHESTER, NY 14642-5103
(585) 275-4517
(585) 442-9201
Mailing address
601 ELMWOOD AVE BOX 675, ROCHESTER, NY 14642-0001
(585) 275-1554
(585) 442-9201

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
314780
NY
363AM0700X
Medical Physician Assistant
314780
NY

Other

Enumeration date
02/27/2007
Last updated
07/17/2023
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