Supraja Prakash, MS, CGC

NPI #1023638582 in Phoenix, Arizona

Provider Information

NPI Number: 1023638582
Entity Type: Individual
Name: Supraja Prakash, MS, CGC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Genetic Counselor, MS
Credential: MS, CGC
Enumeration Date: Apr 24, 2020
Last Updated: Apr 24, 2020

Practice Location

Address: 1920 E CAMBRIDGE AVE.
Address 2: ROSENBERG BLDG., SUITE 304
City: Phoenix
State: Arizona
ZIP Code: 85006
Phone: (602) 933-5503

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Genetic Counselor, MS	170300000X	Primary

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