TANNAVI PRAKASH

ELIZABETH, NJ
NPI1649910175
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: NJ  25MA12725300)
Enumeration Date2022-03-31
Last Update Date2025-12-01
Business Address
TANNAVI PRAKASH
200 WILLIAMSON ST STE 120
ELIZABETH, NJ 07202-2909
Phone number: 908-662-9632
Mailing Address
TANNAVI PRAKASH
200 WILLIAMSON ST STE 120
ELIZABETH, NJ 07202-2909
Phone number: 908-662-9632