DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SURAJ PRAKASH, M.D., M.B.A

Active

SURAJ PRAKASH, M.D., M.B.A is a Therapeutic Radiology healthcare provider located in EDGEWOOD, Kentucky. NPI 1881126787 is currently active in the NPPES registry. Verify at CMS.

Therapeutic Radiology · EDGEWOOD, KY

Registration Details

NPI Number
1881126787
Provider Type
Individual
Gender
Male
NPI Issued
Mar 30, 2017 (9.3420837495312 yrs)
Last Updated
Aug 22, 2025
Licenses
01089063A (IN)
57559 (KY)
57559 (KY)

Practice Information

Address
1 MEDICAL VILLAGE DR
EDGEWOOD, KY, 410173403
Browse KY providers · Browse ZIP 41017
Phone
8595785855
Fax
8593414845
Primary Specialty
Therapeutic Radiology
2085R0204X
Additional Specialty
Therapeutic Radiology
Additional Specialty
Diagnostic Radiology

Other Therapeutic Radiology Providers in EDGEWOOD, KY

Name Credential NPI
DR. DARREN R HURST MD 1124000229
DR. BRIAN C LAWLER MD 1235111279
DR. DANIEL BENJAMIN GANS MD 1508122029
RUDRA PAMPATI MD 1477901080
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.