Provider Demographics
NPI:1609251461
Name:URJA, PRAKRITY (MD)
Entity Type:Individual
Prefix:
First Name:PRAKRITY
Middle Name:
Last Name:URJA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:110 N 29TH ST STE 301
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:NE
Mailing Address - Zip Code:68701-4466
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:402-280-1237
Practice Address - Street 1:110 N 29TH ST STE 301
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:NE
Practice Address - Zip Code:68701-4466
Practice Address - Country:US
Practice Address - Phone:402-844-8284
Practice Address - Fax:402-644-7505
Is Sole Proprietor?:No
Enumeration Date:2015-07-22
Last Update Date:2021-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE7568207R00000X
NE33472207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine