Provider Demographics
NPI:1306523071
Name:PRANA HEALTH PLLC
Entity type:Organization
Organization Name:PRANA HEALTH PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:RAHUL
Authorized Official - Middle Name:KUMAR
Authorized Official - Last Name:KAKKAR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:910-824-7619
Mailing Address - Street 1:4546 NC 87 S
Mailing Address - Street 2:
Mailing Address - City:SANFORD
Mailing Address - State:NC
Mailing Address - Zip Code:27332-0212
Mailing Address - Country:US
Mailing Address - Phone:910-824-7619
Mailing Address - Fax:910-824-7619
Practice Address - Street 1:4546 NC 87 S
Practice Address - Street 2:
Practice Address - City:SANFORD
Practice Address - State:NC
Practice Address - Zip Code:27332-0212
Practice Address - Country:US
Practice Address - Phone:910-824-7619
Practice Address - Fax:910-824-7619
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PRANA HEALTH PLLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-07-03
Last Update Date:2023-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care