Provider Demographics
NPI:1073647863
Name:STRIKER, PRACHI (MD)
Entity Type:Individual
Prefix:DR
First Name:PRACHI
Middle Name:
Last Name:STRIKER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:PRACHI
Other - Middle Name:
Other - Last Name:AGARWALA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3365 S 103RD ST STE 210
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53227-4161
Mailing Address - Country:US
Mailing Address - Phone:414-228-4800
Mailing Address - Fax:262-432-9004
Practice Address - Street 1:3365 S 103RD ST STE 210
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53227-4161
Practice Address - Country:US
Practice Address - Phone:414-228-4800
Practice Address - Fax:262-432-9004
Is Sole Proprietor?:No
Enumeration Date:2007-03-15
Last Update Date:2020-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI73967-202084P0804X, 2084P0800X
MI43010881162084P0800X
MN543292084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI1073647863Medicaid