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RADHIKA PRAKASH, MD
NPI 1164810503
Internal Medicine in St. Augustine, FL

Active since January 08, 2015
2758 US S 1 SOUTH, ST. AUGUSTINE, FL 32086(904) 797-2338(904) 797-2331 Get Directions Write a Review

NPPES record last updated: January 8, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Radhika Prakash, Md NPPES

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

RADHIKA PRAKASH, MD (NPI 1164810503) is a healthcare organization registered as an internal medicine in St. Augustine, Florida and active in the NPI registry since January 2015. The organization lists Radhika Prakash, Md, as its authorized official.

NPPES Registry Identity

NPI1164810503
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameRADHIKA PRAKASH, MD
Location Address2758 US S 1 SOUTHSt. Augustine, FL 32086
Mailing AddressPo Box 860120St Augustine, FL 32086-0120 · (904) 797-2338 · Fax (904) 797-2331
Phone(904) 797-2338
Fax(904) 797-2331
Organization SubpartNo
Authorized OfficialRadhika PrakashMd · (904) 797-2338
Enumeration DateJanuary 8, 2015
✔ NPI 1164810503 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in FL · ME0041524
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
2758 US S 1 SOUTH, St. Augustine, FL 32086
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Other Identifiers 3

Other55118FL · Blue Cross Blue Shield
Medicaid009180500FL
Medicare UPIND56713FL

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Radhika Prakash, MD's NPI number?

The NPI number for Radhika Prakash, MD is 1164810503. It was assigned to this organization in the NPPES registry on January 8, 2015.

Where is Radhika Prakash, MD located?

Radhika Prakash, MD is located at 2758 Us S 1 South, St. Augustine, FL 32086. The listed phone number is (904) 797-2338.

What is Radhika Prakash, MD's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Radhika Prakash, MD was last updated on January 8, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.