Suraj Prakash, MD, MBA | |
1 Medical Village Dr, Edgewood, KY 41017-3403 | |
(859) 578-5855 | |
(859) 341-4845 |
Full Name | Suraj Prakash |
---|---|
Gender | Male |
Speciality | Radiology - Diagnostic Radiology |
Location | 1 Medical Village Dr, Edgewood, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1881126787 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 01089063A (Indiana) | Secondary |
2085R0202X | Radiology - Diagnostic Radiology | 57559 (Kentucky) | Primary |
Entity Name | Radiology Associates Of Northern Kentucky Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073595179 PECOS PAC ID: 3779480736 Enrollment ID: O20031217000626 |
Mailing Address | Practice Location Address |
---|---|
Suraj Prakash, MD, MBA 793 W State St, Columbus, OH 43222-1551 Ph: () - | Suraj Prakash, MD, MBA 1 Medical Village Dr, Edgewood, KY 41017-3403 Ph: (859) 578-5855 |
Dr. Stephen G Moeller, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1 Medical Village Dr, Edgewood, KY 41017 Phone: 859-301-2160 Fax: 859-301-3932 | |
Dr. Byron W Marks, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1 Medical Village Drive, Edgewood, KY 41017 Phone: 859-301-2160 Fax: 859-301-3932 | |
Dr. Walter R Eiseman, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1 Medical Village Dr, Edgewood, KY 41017 Phone: 859-301-2160 Fax: 859-301-3932 | |
Dr. Richard H Laib, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1 Medical Village Drive, Edgewood, KY 41017 Phone: 859-301-2160 Fax: 859-301-3932 | |
Dr. James J Roebker, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Village Dr, Edgewood, KY 41017 Phone: 859-301-2160 Fax: 859-301-3932 | |
Dr. Elizabeth A P Reichard, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Village Dr, Edgewood, KY 41017 Phone: 859-301-2160 Fax: 859-301-3932 | |
David Jerome Lubbers, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1 Medical Village Dr, Edgewood, KY 41017 Phone: 859-301-2160 Fax: 859-301-3932 |