Individual
KARANVIR PRAKASH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
325 CHARLES H DIMMOCK PKWY STE 100, COLONIAL HEIGHTS, VA 23834-2986
(804) 526-5888
(804) 526-5401
Mailing address
325 CHARLES H DIMMOCK PKWY, STE 100, COLONIAL HEIGHTS, VA 23834-2986
(804) 526-5888
(804) 526-5401
Taxonomy
Speciality
Code
Description
License number
State
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
Primary
0101045456
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006402666
—
VA
01
—
200021403
RAILROAD MEDICARE
VA
Enumeration date
07/19/2005
Last updated
12/05/2017
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