Individual
DR. PRAKASH G MAHALINGASHETTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
306 HOSPITAL DR, SUITE 106, SOUTH WILLIAMSON, KY 41503-4095
(606) 237-1129
(606) 237-0331
Mailing address
306 HOSPITAL DR, SUITE 106, SOUTH WILLIAMSON, KY 41503-4095
(606) 237-1129
(606) 237-0331
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
19423
WV
208600000X
Surgery Physician
Primary
20904
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0125873-000
—
WV
05
—
64209042
—
KY
Enumeration date
11/03/2005
Last updated
07/08/2007
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