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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1659995835

Gautham Prakash, MD is a Student in an Organized Health Care Education/Training Program in Charlottesville, Virginia. Licensed in Virginia. Registered with an NPI since 2020.

Licensed in
VA
In the registry since
2020
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1215 Lee St
Charlottesville, VA 22908-3801
Phone: (434) 924-9333
Fax: (434) 244-7526
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X · Licence 0116037288 (VA)

Record details

NPI number1659995835
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 3, 2020
Last updated in NPPESJuly 4, 2023
Certification dateJuly 4, 2023

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