Dr Raj Larry Prabhakar, DPM | |
4889 S Congress Ave Ste 201, Palm Springs, FL 33461-4764 | |
(561) 360-2340 | |
(561) 516-6630 |
Full Name | Dr Raj Larry Prabhakar |
---|---|
Gender | Male |
Speciality | Podiatrist |
Location | 4889 S Congress Ave Ste 201, Palm Springs, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1952900649 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213ES0103X | Podiatrist - Foot & Ankle Surgery | PO4332 (Florida) | Secondary |
213E00000X | Podiatrist | PO4332 (Florida) | Primary |
Provider Name | All Podiatry Group Inc. |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1437207933 PECOS PAC ID: 0042252140 Enrollment ID: O20050531000341 |
Provider Name | Integrative Foot And Ankle Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1386910305 PECOS PAC ID: 5496902611 Enrollment ID: O20120823000204 |
Provider Name | Prabhakar Podiatry Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1093545824 PECOS PAC ID: 4183162365 Enrollment ID: O20240819004139 |
Mailing Address | Practice Location Address |
---|---|
Dr Raj Larry Prabhakar, DPM 15815 Shaddock Dr Ste 130, Winter Garden, FL 34787-5773 Ph: (407) 605-2321 | Dr Raj Larry Prabhakar, DPM 4889 S Congress Ave Ste 201, Palm Springs, FL 33461-4764 Ph: (561) 360-2340 |
Musharib Chaudhry, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 4889 S Congress Ave Ste 201, Palm Springs, FL 33461 Phone: 561-360-2340 Fax: 407-671-4155 |