Individual
DR. RAHUL PRAKASH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
411 PARK GROVE LN SUITE 310, KATY, TX 77450
(281) 579-5799
(281) 579-5798
Mailing address
411 PARK GROVE LN SUITE 310, KATY, TX 77450-2449
(713) 464-9100
(713) 468-6183
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
J2745
TX
207RN0300X
Nephrology Physician
Primary
J2745
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
113584004
—
TX
Enumeration date
06/07/2006
Last updated
01/17/2020
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