| Prana Health Pllc | |
|
200 Forsythe St Fayetteville NC 28303-5426 | |
| (910) 824-7619 | |
| (910) 824-7754 |
| Full Name | Prana Health Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 200 Forsythe St, Fayetteville, North Carolina |
| Authorized Official Name and Position | Neeru Kakkar (MANAGER) |
| Authorized Official Contact | 9193676456 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Prana Health Pllc 1006 Rushden Way Apex NC 27502-5031 Ph: (919) 367-6456 | Prana Health Pllc 200 Forsythe St Fayetteville NC 28303-5426 Ph: (910) 824-7619 |
| NPI Number | 1821467044 |
|---|---|
| Provider Enumeration Date | 09/17/2015 |
| Last Update Date | 08/24/2022 |
| Medicare PECOS PAC ID | 0143519264 |
|---|---|
| Medicare Enrollment ID | O20160512002136 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821467044 | NPI | - | NPPES |
| Provider Name | Alfred S Bunao |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700882214 PECOS PAC ID: 5991600496 Enrollment ID: I20031205000604 |
| Provider Name | Rahul K Kakkar |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1821038209 PECOS PAC ID: 6800828385 Enrollment ID: I20131119001939 |
| Provider Name | Emilou Camotes Lao |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043042880 PECOS PAC ID: 7113458563 Enrollment ID: I20241009001936 |
| Provider Name | Nancy Shashank Kapadia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366047292 PECOS PAC ID: 5698181592 Enrollment ID: I20241205003879 |
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