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SUPRAJA PRAKASH MS, CGC
NPI 1023638582
Genetic Counselor, MS in Phoenix, AZ

Active since April 24, 2020
1920 E CAMBRIDGE AVE., ROSENBERG BLDG., SUITE 304, PHOENIX, AZ 85006(602) 933-5503 Get Directions Write a Review

NPPES record last updated: April 24, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Supraja Prakash Ms, Cgc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUPRAJA PRAKASH MS, CGC (NPI 1023638582) is an individual genetic counselor, ms provider in Phoenix, Arizona and active in the NPI registry since April 2020.

NPPES Registry Identity

NPI1023638582
Entity TypeIndividualFemale
Primary Taxonomy170300000X
Provider Legal NameSUPRAJA PRAKASHCredential: MS, CGC
Location Address1920 E CAMBRIDGE AVE., ROSENBERG BLDG., SUITE 304Phoenix, AZ 85006
Mailing Address1550 E Campbell Ave Apt 4032Phoenix, AZ 85014-4275 · (913) 553-8720
Phone(602) 933-5503
Sole ProprietorNo
Enumeration DateApril 24, 2020
NPPES CertifiedApril 24, 2020
✔ NPI 1023638582 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGenetic Counselor, MSOther Service Providers
Taxonomy Code170300000X
Definition
A masters trained health care provider who collects and interprets genetic family histories; assesses the risk of disease occurrence or recurrence; identifies interventions to manage or ameliorate disease risk; educates about inheritance, testing, management, prevention, ethical issues, resources, and research; and counsels to promote informed choices and adaptation. Certification was established in 1993 by the American Board of Genetic Counseling and prior to that by the American Board of Medical Genetics. Requirements for experience, licensure, and job responsibilities vary among the states.
1920 E CAMBRIDGE AVE., Phoenix, AZ 85006
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Supraja Prakash's NPI number?

The NPI number for Supraja Prakash is 1023638582. It was assigned to this individual provider in the NPPES registry on April 24, 2020.

Where is Supraja Prakash located?

Supraja Prakash practices at 1920 E Cambridge Ave. Rosenberg Bldg., Suite 304, Phoenix, AZ 85006. The listed phone number is (602) 933-5503.

What is Supraja Prakash's specialty?

The primary specialty registered for this NPI is Genetic Counselor, MS with taxonomy code 170300000X.

When was this NPI record last updated?

The NPPES record for Supraja Prakash was last updated on April 24, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.