Provider Demographics
NPI:1194874693
Name:ALEKAL, PRASHANTI (MD)
Entity type:Individual
Prefix:
First Name:PRASHANTI
Middle Name:
Last Name:ALEKAL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:P.O BOX 15277
Mailing Address - Street 2:
Mailing Address - City:COSTA MESA
Mailing Address - State:CA
Mailing Address - Zip Code:92626-4108
Mailing Address - Country:US
Mailing Address - Phone:714-668-2540
Mailing Address - Fax:714-668-2510
Practice Address - Street 1:1190 BAKER ST
Practice Address - Street 2:100
Practice Address - City:COSTA MESA
Practice Address - State:CA
Practice Address - Zip Code:92626-4108
Practice Address - Country:US
Practice Address - Phone:714-668-2540
Practice Address - Fax:714-668-2510
Is Sole Proprietor?:No
Enumeration Date:2007-01-10
Last Update Date:2010-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA86229208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics