Individual
SANJANA PRAKASH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4500 13TH STREET, MEMORIAL HEALTH SYSTEM, GULFPORT, MS 39501
(228) 822-6512
(228) 575-1937
Mailing address
4500 13TH STREET, MEMORIAL HEALTH SYSTEM, GULFPORT, MS 39501
(228) 822-6512
(228) 575-1937
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/22/2025
Last updated
08/14/2025
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