Individual
PRARTHANA PRAKASH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
593 EDDY STREET, APC 5, PROVIDENCE, RI 02903-4923
(401) 444-6440
(401) 444-6858
Mailing address
117 ELLENFIELD ST STE 101, PROVIDENCE, RI 02905-4541
(401) 444-6779
(401) 444-6912
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
MD17436
RI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/29/2015
Last updated
07/28/2021
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