Dr. Sumi Prakash
Internist Critical Care Medicine
1801 N Senate Blvd Suite 230
Indianapolis
, Indiana 46202-1252
Dr. Sumi Prakash
Internist Critical Care Medicine
1801 N Senate Blvd Suite 230
Indianapolis
, Indiana 46202-1252
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About
Features
Specialties
- Internist
- Critical Care Medicine
Languages spoken
- English
Location
First Address
- Dr. Sumi Prakash
- 250 N Shadeland Ave Ste 130 Provider Enrollment
- Indianapolis, IN
- Zip : 46219-4959
- Phone :
Second Address
- Dr. Sumi Prakash
- 1801 N Senate Blvd Suite 230
- Indianapolis, IN
- Zip : 46202-1252
- Fax : (317) 962-3916
- Phone : (317) 962-5820
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207R00000X | Internist | 01070939A | IN |
| N | 111NI0900X | Internist | 01070939A | IN |
| N | 207R00000X | Internist | 2011026860 | MO |
| N | 111NI0900X | Internist | 2011026860 | MO |
| Y | 207RC0200X | Critical Care Medicine | 01070939A | IN |
| N | 207RC0200X | Critical Care Medicine | 2011026860 | MO |
National Provider Identifier
| NPI | 1063611317 |
|---|---|
| Provider Name | Dr. Sumi Prakash |
| First Address | Indianapolis, IN 46219-4959 |
| Second Address | Indianapolis, IN 46202-1252 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 17/07/2007 |
| Last Update Date | 21/05/2019 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 201079490 | (05) | IN |
| P02198454 | MEDICARE RR (01) | IN |
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.