Organization
OM PRAKASH MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OM PRAKASH MD (OWNER)
76024222223
Entity
Organization
Contact information
Practice address
18056 WIKA RD, SUITE B, APPLE VALLEY, CA 92307-2194
(760) 242-2223
(760) 242-1293
Mailing address
18056 WIKA RD STE B, APPLE VALLEY, CA 92307-2194
(760) 242-2223
(760) 242-1293
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
04/02/2010
Last updated
04/03/2010
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