Provider Demographics
NPI:1255660197
Name:JHA, PRAKASH (MD, MPH)
Entity Type:Individual
Prefix:DR
First Name:PRAKASH
Middle Name:
Last Name:JHA
Suffix:
Gender:M
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8403 COLESVILLE ROAD
Mailing Address - Street 2:SUITE 1600
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20910
Mailing Address - Country:US
Mailing Address - Phone:202-270-9430
Mailing Address - Fax:804-836-1395
Practice Address - Street 1:8403 COLESVILLE ROAD
Practice Address - Street 2:SUITE 1600
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20910
Practice Address - Country:US
Practice Address - Phone:202-270-9430
Practice Address - Fax:804-836-1395
Is Sole Proprietor?:No
Enumeration Date:2009-12-23
Last Update Date:2009-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101244511207ZP0101X
DCMD038226207ZP0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0101XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology