Individual
DR. ARUN PRAHASH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1267 HIGHWAY 54 W STE 2200, FAYETTEVILLE, GA 30214-2110
(770) 716-0051
Mailing address
2727 PACES FERRY RD SE STE 1-1100, ATLANTA, GA 30339-6151
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
83511
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1912984568
—
VA
01
—
304371
ANTHEM
VA
01
—
624885
SOUTHERN HEALTH
VA
01
—
C10061
MEDICARE GROUP PIN
VA
Enumeration date
12/26/2005
Last updated
09/03/2019
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