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NPI Code Detail

MEDICARE: GITA TRIKHA PRAKASH M.D.

MEDICARE: GITA TRIKHA PRAKASH M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207L00000XAnesthesiology Physician0101053121VA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
233878OTHERVACARENET

General Provider Information

NPI Number : 1164426805
Entity Type Code : Individual
Provider Name (Legal Business Name) : GITA TRIKHA PRAKASH M.D.
Provider Business Mailing Address
First Line : PO BOX 17978
Second Line :
City : RICHMOND
State : VA
Zip : 23226-7978
Country : US
Telephone Number : 804-289-4937
Fax Number :
Provider Business Practice Location Address
First Line : 1602 SKIPWITH RD
Second Line :
City : RICHMOND
State : VA
Zip : 23229-5205
Country : US
Telephone Number : 804-288-4453
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/10/2005
Last Update Date : 02/14/2014

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Directions to “ GITA TRIKHA PRAKASH M.D.” Practice Location

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