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NPI Code Detail

MEDICARE: EVA M PRAKASH MD

MEDICARE: EVA M PRAKASH MD
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
1207P00000XEmergency Medicine PhysicianK8429TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
18Z0977OTHERTXBC/BS PROVIDER NUMBER
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
31528048774OTHERTXTRICARE SOUTH
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1528048774
Entity Type Code : Individual
Provider Name (Legal Business Name) : EVA M PRAKASH MD
Provider Business Mailing Address
First Line : PO BOX 200993
Second Line :
City : HOUSTON
State : TX
Zip : 77216-0993
Country : US
Telephone Number : 281-784-1111
Fax Number : 281-784-1555
Provider Business Practice Location Address
First Line : 8850 LONG POINT RD
Second Line :
City : HOUSTON
State : TX
Zip : 77055-3006
Country : US
Telephone Number : 713-722-3775
Fax Number : 713-722-3731
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/21/2006
Last Update Date : 04/23/2010

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Directions to “ EVA M PRAKASH MD” Practice Location

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