Provider Demographics
NPI:1265981211
Name:SMITH-PRATT, INGA DAKOTA (MBBS, DM OBGYN)
Entity type:Individual
Prefix:DR
First Name:INGA
Middle Name:DAKOTA
Last Name:SMITH-PRATT
Suffix:
Gender:F
Credentials:MBBS, DM OBGYN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:P.O. BOX EE15381
Mailing Address - Street 2:
Mailing Address - City:NASSAU
Mailing Address - State:NEW PROVIDENCE
Mailing Address - Zip Code:00000
Mailing Address - Country:BS
Mailing Address - Phone:242-393-0614
Mailing Address - Fax:242-393-0618
Practice Address - Street 1:ADVANCED FERTILITY AND GYNECOLOGY
Practice Address - Street 2:SHIRLEY ST. PLAZA SECOND FLOOR
Practice Address - City:NASSAU
Practice Address - State:NEW PROVIDENCE
Practice Address - Zip Code:00000
Practice Address - Country:BS
Practice Address - Phone:242-393-0614
Practice Address - Fax:242-393-0619
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-30
Last Update Date:2016-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ZZS1447207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology