Provider Demographics
NPI:1629395686
Name:PRAKASH, PIA (MD)
Entity Type:Individual
Prefix:DR
First Name:PIA
Middle Name:
Last Name:PRAKASH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:7120 MINSTREL WAY
Mailing Address - Street 2:STE 100
Mailing Address - City:COLUMBIA
Mailing Address - State:MD
Mailing Address - Zip Code:21045-5274
Mailing Address - Country:US
Mailing Address - Phone:410-290-6677
Mailing Address - Fax:410-290-6676
Practice Address - Street 1:7120 MINSTREL WAY STE 100
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21045-5274
Practice Address - Country:US
Practice Address - Phone:410-290-6677
Practice Address - Fax:410-290-6676
Is Sole Proprietor?:No
Enumeration Date:2010-04-29
Last Update Date:2018-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0081625207RG0100X, 207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology