Individual
DR. VED PRAKASH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D,
Contact information
Practice address
225 W HOSPITALITY LN, SUTE#100, SAN BERNARDINO, CA 92408-3237
(909) 890-5856
Mailing address
PO BOX 43, LOMA LINDA, CA 92354-0690
(909) 890-5856
(909) 890-5725
Taxonomy
Speciality
Code
Description
License number
State
2085N0904X
Nuclear Radiology Physician
Primary
A26373
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A263730
—
CA
Enumeration date
07/26/2006
Last updated
12/21/2011
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