Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RI0200X | Infectious Disease | 0101264684 | VA |
NPI | 1073746897 |
---|---|
Provider Name | Dr. Prakash Mohan Kafle |
First Address | Newport News, VA 23601-1318 |
Second Address | Newport News, VA 23606 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/08/2009 |
Last Update Date | 03/07/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
18177 | (05) | ND |