Individual
DR. RAJAT PRAKASH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2701 LEONARD DR STE B, VALPARAISO, IN 46383-7121
(219) 464-9800
(219) 464-9877
Mailing address
226 INDIAN TRAIL RD, OAK BROOK, IL 60523-2796
(219) 424-1488
(219) 464-9877
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01092811A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300097181
—
IN
Enumeration date
09/22/2005
Last updated
07/08/2025
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