Individual
NEHA PRAKASH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
263 FARMINGTON AVE, FARMINGTON, CT 06030-0001
(860) 679-4888
(860) 679-0131
Mailing address
263 FARMINGTON AVE, FARMINGTON, CT 06030-8082
(860) 679-4888
(860) 679-0131
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
062297
CT
390200000X
Student in an Organized Health Care Education/Training Program
2013020339
MO
Other
Enumeration date
07/02/2013
Last updated
09/29/2022
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