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Dr. Dave Prakash, MD
Clinic/Center in Bossier City, Louisiana
NPI 1912201435

Dave Prakash is a Clinic/Center based in Barksdale Afb, LA. Dave Prakash practices in Bossier City, LA and has the professional credentials of MD. The NPI Number for Dave Prakash is 1912201435 and holds a License No. 234586 (Louisiana).

The current practice location address for Dave Prakash is 5526 Lake Side Dr, Bossier City, LA and can be reached out via phone at 315-882-2278. You can also correspond with Dave Prakash through the mailing address at PO BOX 184, BARKSDALE AFB, LA - 71110-0184 (mailing address contact number: 315-882-2278).

Location: 5526 Lake Side Dr, Bossier City, LA, 71110-0184
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1912201435
Provider Name
Dave Prakash
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
5526 Lake Side Dr, Bossier City, LA, 71110-0184
Phone Number
315-882-2278
Fax Number
Provider Enumeration Date
12/23/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
5526 Lake Side Dr
City
Bossier City
State
Louisiana
Zip
71111-5504
Phone Number
315-882-2278
Fax Number
person
Provider Business Mailing Address Details
Address
5526 Lake Side Dr
City
Bossier City
State
Louisiana
Zip
71111-5504
Phone Number
315-882-2278
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
234586 (New York)
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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