Prakash Pandalai
Surgeon Surgical Oncologist
800 Rose St 1st Fl
Lexington
, Kentucky 40536
Prakash Pandalai
Surgeon Surgical Oncologist
800 Rose St 1st Fl
Lexington
, Kentucky 40536
(240) 330-9506
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About
Features
Specialties
- Surgeon
- Surgical Oncologist
Languages spoken
- English
Location
First Address
- Prakash Pandalai
- 8008 Westpark Dr
- Mc Lean, VA
- Zip : 22102-3109
- Phone : (240) 330-9506
Second Address
- Prakash Pandalai
- 800 Rose St 1st Fl
- Lexington, KY
- Zip : 40536
- Fax : (859) 323-2074
- Phone : (859) 323-6542
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Is Prakash Pandalai a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 208200000X | Surgeon | 35085025 | OH |
| N | 208600000X | Surgeon | 35085025 | OH |
| Y | 2086X0206X | Surgical Oncologist | 53095 | KY |
| N | 2086X0206X | Surgical Oncologist | TP594 | KY |
National Provider Identifier
| NPI | 1275735789 |
|---|---|
| Provider Name | Prakash Pandalai |
| First Address | Mc Lean, VA 22102-3109 |
| Second Address | Lexington, KY 40536 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 05/06/2007 |
| Last Update Date | 05/05/2021 |
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.