NPI 1023638582
Supraja Prakash, MSCGC
Practice location
- Address
- 1920 E Cambridge Ave. Rosenberg Bldg., Suite 304, Phoenix, AZ 85006
- Phone
- (602) 933-5503
- Mailing address
- 1550 E Campbell Ave APT 4032, Phoenix, AZ 85014-4275
Registered specialties
Genetic Counselor (M.S.)
Primary
Registry record
- NPI
- 1023638582
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 24 Apr 2020
- Record last updated
- 24 Apr 2020
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.