Provider Demographics
NPI:1285601302
Name:PRAKALAPAKORN, DARANEE S (MD, FAAP)
Entity type:Individual
Prefix:DR
First Name:DARANEE
Middle Name:S
Last Name:PRAKALAPAKORN
Suffix:
Gender:F
Credentials:MD, FAAP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4316 N WITCHDUCK RD
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23455-6110
Mailing Address - Country:US
Mailing Address - Phone:757-363-8270
Mailing Address - Fax:
Practice Address - Street 1:1036 NIDER BLVD
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23521-2700
Practice Address - Country:US
Practice Address - Phone:757-314-6802
Practice Address - Fax:757-314-7482
Is Sole Proprietor?:No
Enumeration Date:2006-03-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101025619208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics