Provider Demographics
NPI:1073746897
Name:KAFLE, PRAKASH MOHAN (MD)
Entity Type:Individual
Prefix:DR
First Name:PRAKASH
Middle Name:MOHAN
Last Name:KAFLE
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:856 J CLYDE MORRIS BLVD STE A
Mailing Address - Street 2:
Mailing Address - City:NEWPORT NEWS
Mailing Address - State:VA
Mailing Address - Zip Code:23601-1318
Mailing Address - Country:US
Mailing Address - Phone:757-316-5800
Mailing Address - Fax:757-534-5190
Practice Address - Street 1:12420 WARWICK BLVD STE 4C
Practice Address - Street 2:
Practice Address - City:NEWPORT NEWS
Practice Address - State:VA
Practice Address - Zip Code:23606
Practice Address - Country:US
Practice Address - Phone:757-596-7115
Practice Address - Fax:757-596-7126
Is Sole Proprietor?:No
Enumeration Date:2009-08-27
Last Update Date:2018-07-03
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Provider Licenses
StateLicense IDTaxonomies
VA0101264684207RI0200X
ND12440207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
ND18177Medicaid
NDN718962Medicare PIN