Provider Demographics
NPI:1245487503
Name:KARN, PRAKASH BHUSHAN (MD)
Entity type:Individual
Prefix:
First Name:PRAKASH BHUSHAN
Middle Name:
Last Name:KARN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:269 MEDICAL PARK BLVD
Mailing Address - Street 2:
Mailing Address - City:PETERSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:23805-9337
Mailing Address - Country:US
Mailing Address - Phone:804-861-0700
Mailing Address - Fax:804-863-4626
Practice Address - Street 1:207 N 4TH AVE
Practice Address - Street 2:
Practice Address - City:HOPEWELL
Practice Address - State:VA
Practice Address - Zip Code:23860-2503
Practice Address - Country:US
Practice Address - Phone:804-541-0700
Practice Address - Fax:804-541-7924
Is Sole Proprietor?:No
Enumeration Date:2008-08-19
Last Update Date:2015-10-06
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
VA01012514792084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry