IndividualActive
Dave Prakash, MD
NPI 1912201435 · Clinic/Center · Bossier City, LA
Provider details
- NPI number
- 1912201435
- Entity type
- Individual
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 234586 (NY)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
5526 Lake Side Dr
Bossier City, LA 71111-5504
Phone: (315) 882-2278
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 184
Barksdale Afb, LA 71110-0184
Registry dates
- Enumerated
- 2010-12-23
- Last updated
- 2010-12-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.