Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
PRADEEP BANGALORE PRAKASH, MD
Active Sole ProprietorPRADEEP BANGALORE PRAKASH, MD is a Pediatric Critical Care Medicine healthcare provider located in GREEN BAY, Wisconsin. NPI 1831514900 is currently active in the NPPES registry. Verify at CMS.
Pediatric Critical Care Medicine · GREEN BAY, WI
Registration Details
- NPI Number
- 1831514900
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 26, 2014 (12.494274412828 yrs)
- Last Updated
- Dec 27, 2024
- Licenses
-
MD-41570 (IA)MD-41570 (IA)72580-20 (WI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
835 S VAN BUREN STGREEN BAY, WI, 543013526Browse WI providers · Browse ZIP 54301
- Phone
- 9204964700
- Primary Specialty
-
Pediatric Critical Care Medicine
2080P0203X
- Additional Specialty
- Pediatric Critical Care Medicine
- Additional Specialty
- Pediatric Critical Care Medicine
Other Pediatric Critical Care Medicine Providers in GREEN BAY, WI
| Name | Credential | NPI |
|---|---|---|
| JOHN W TAYLOR | D.O. | 1841253077 |
| MR. JOEL STEVEN AMENT | MD | 1861425456 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.