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General NPI Number Information
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NPI Number | 1992876569
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Entity Type | Individual
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Provider Name | PRAKASH R. DARJI M.D.
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Gender | Male
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Dates
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Enumeration Date | 11/13/2006
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Last Update Date | 04/05/2023
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Provider Practice Location Address
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Address Line | 2906 17TH ST
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City | SAINT CLOUD
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State | FL
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Zip | 34769-6006
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Country | US
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Telephone | 321-841-7856
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Fax | 407-253-2563
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Provider Business Mailing Address
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Address Line | 29 DELAWARE AVE
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City | PITTSFIELD
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State | MA
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Zip | 01201-3615
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Country | US
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Telephone | 413-499-8510
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Fax | 413-499-8553
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 230136
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 230136
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License Number State | MA
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | ME154208
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License Number State | FL
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