Individual
DR. PRACHI AVINASH POPHALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
725 AMERICAN AVE, WAUKESHA, WI 53188-5099
(262) 928-5400
Mailing address
240 EASTON AVE, 4TH FLOOR CARES, RM 4014, NEW BRUNSWICK, NJ 08901-1723
(913) 548-3576
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2019032520
MO
Other
Enumeration date
01/14/2017
Last updated
09/13/2023
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