Individual
DR. RAVI PRAKASH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD., FAAP DABP MRCP
Contact information
Practice address
80 SHERMAN ST, NORWICH, CT 06360-4106
(860) 886-0202
(860) 886-5068
Mailing address
80 SHERMAN ST, NORWICH, CT 06360-4106
(860) 886-0202
(860) 886-5068
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
035836
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001358367
—
CT
01
—
00135836703
BLUECARE FAMILY PLAN
CT
01
—
010035836CT02
ANTHEM BLUE CROSS
CT
01
—
0V8084
HEALTHNET
CT
01
—
1241197
UNITED HEALTHCARE
CT
01
—
2453549
AETNA
CT
01
—
4682678002
CIGNA
CT
01
—
744319
CONNECTICARE
CT
01
—
P2061637
OXFORD
CT
Enumeration date
09/09/2005
Last updated
10/22/2008
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