GAUTHAM PRAKASH

CHARLOTTESVILLE, VA
NPI1659995835
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
(Licence: VA  0116037288)
Enumeration Date2020-06-03
Last Update Date2023-07-04
Business Address
GAUTHAM PRAKASH MD
1215 LEE ST
CHARLOTTESVILLE, VA 22908-3801
Phone number: 434-924-9333
Mailing Address
GAUTHAM PRAKASH MD
1215 LEE ST BOX 800334
CHARLOTTESVILLE, VA 22908-0816
Phone number: 434-924-9333
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