IndividualActive
Samantha Prabakaran, MD
NPI 1164047122 · Ophthalmic Plastic and Reconstructive Surgery Physician · Raleigh, NC
Provider details
- NPI number
- 1164047122
- Entity type
- Individual
- Primary specialty
- Ophthalmic Plastic and Reconstructive Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- 0116034573 (VA)
Mailing address
7901 Acc Blvd Ste 200
Raleigh, NC 27617-4730
Registry dates
- Enumerated
- 2020-06-15
- Last updated
- 2024-06-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.