Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ajay Prakash

Individual provider Medical Oncology Physician · NPI 1386023612

Ajay Prakash is a Hematology/Oncology in Minneapolis, Minnesota. Graduated from University of Michigan Medical School in 2015, 11 years ago. Practices with Fairview Specialty Services, a 304-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Minnesota.

Years since qualifying
11
Trained at
University of Michigan Medical School
Licensed in
MN
In the registry since
2015

Practice location Address checks out

2450 Riverside Ave
Minneapolis, MN 55454-1450
Phone: (612) 672-6000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Oncology Physician (primary) Taxonomy 207RX0202X · Licence 70014 (MN)

Record details

NPI number1386023612
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 19, 2015
Last updated in NPPESAugust 17, 2021
Certification dateAugust 17, 2021
Mailing address1700 University Ave W, Saint Paul, MN 55104-3727

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyHEMATOLOGY/ONCOLOGY
Medical schoolUNIVERSITY OF MICHIGAN MEDICAL SCHOOL
Graduated 2015 (11 years in practice)
Group practice Fairview Specialty Services — 304 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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