Dr. Bala Prakash
Internist Pulmonary Disease Critical Care Medicine and 3 more
Ph Usc Pulmonary 300 Palmetto Health Parkway
Columbia
, South Carolina 29212-1765
Dr. Bala Prakash
Internist Pulmonary Disease Critical Care Medicine and 3 more
Ph Usc Pulmonary 300 Palmetto Health Parkway
Columbia
, South Carolina 29212-1765
(920) 445-7229
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About
Features
Specialties
- Internist
- Critical Care Medicine
- Pulmonary Disease
Languages spoken
- English
Location
First Address
- Dr. Bala Prakash
- 744 S Webster Ave
- Green Bay, WI
- Zip : 54301-3505
- Fax : (920) 445-7229
- Phone : (920) 445-7226
Second Address
- Dr. Bala Prakash
- Ph Usc Pulmonary 300 Palmetto Health Parkway
- Columbia, SC
- Zip : 29212-1765
- Phone : (803) 296-3273
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207R00000X | Internist | 260043-1 | NY |
| N | 111NI0900X | Internist | 260043-1 | NY |
| N | 207R00000X | Internist | 64322-20 | WI |
| N | 111NI0900X | Internist | 64322-20 | WI |
| N | 207RC0200X | Critical Care Medicine | 260043-1 | NY |
| N | 207RC0200X | Critical Care Medicine | 48315 | KY |
| N | 207RP1001X | Pulmonary Disease | 260043-1 | NY |
| Y | 207RP1001X | Pulmonary Disease | 38574 | SC |
| N | 207RP1001X | Pulmonary Disease | 48315 | KY |
National Provider Identifier
| NPI | 1033315932 |
|---|---|
| Provider Name | Dr. Bala Prakash |
| First Address | Green Bay, WI 54301-3505 |
| Second Address | Columbia, SC 29212-1765 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 26/06/2007 |
| Last Update Date | 06/10/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 385746 | (05) | SC |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.