| Dr Prakash P Devaskar, MD | |
|
700 River Dr, Fort Bragg, CA 95437-5403 | |
| (707) 961-4631 | |
| (707) 964-1192 |
| Full Name | Dr Prakash P Devaskar |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 700 River Dr, Fort Bragg, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912079294 | NPI | - | NPPES |
| 00A350680 | Other | CALIFORNIA STATE LIC | |
| 68-0326919 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | CA00A350680 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Prakash P Devaskar, MD 700 River Dr, Fort Bragg, CA 95437-5403 Ph: (707) 961-4631 | Dr Prakash P Devaskar, MD 700 River Dr, Fort Bragg, CA 95437-5403 Ph: (707) 961-4631 |
Dr. William Matthew Mahon, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 510 Cypress St Ste D, Fort Bragg, CA 95437 Phone: 707-964-5696 Fax: 707-964-6274 | |
Dr. Jeffrey Malcolm Kraut, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 510 Cypress St Ste D, Fort Bragg, CA 95437 Phone: 707-964-5696 Fax: 707-964-6274 | |
Mr. Donavan D Spencer, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 205 South St, Fort Bragg, CA 95437 Phone: 707-964-1251 | |
Gayle Holderness Tyerman, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 510 Cypress St Ste D, Fort Bragg, CA 95437 Phone: 707-357-1001 | |
Christopher Robshaw, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 510 Cypress St Ste D, Fort Bragg, CA 95437 Phone: 707-964-1251 |