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

Individual provider Diagnostic Radiology Physician · NPI 1881126787

Suraj Prakash, MD, MBA is a Diagnostic Radiology in Edgewood, Kentucky. Graduated from Ohio State University College of Medicine in 2016, 10 years ago. Practices with Gcga Physicians Inc, a 77-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Indiana and Kentucky.

Years since qualifying
10
Trained at
Ohio State University College of Medicine
Licensed in
IN, KY
In the registry since
2017
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.
MBA — Master of Business Administration
A graduate business degree.

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Practice location Address checks out

1 Medical Village Dr
Edgewood, KY 41017-3403
Phone: (859) 578-5855
Fax: (859) 341-4845
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 375 Thomas More Pkwy Ste 209, Crestview Hills, KY 41017-2175 — (513) 490-2455

Specialties & licences

Vascular & Interventional Radiology Physician (primary) Taxonomy 2085R0204X · Licence 57559 (KY)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 01089063A (IN)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 57559 (KY)

Record details

NPI number1881126787
Entity typeIndividual (Type 1)
GenderMale
Credentials MD , MBA
Sole proprietorNo
NPI enumeratedMarch 30, 2017
Last updated in NPPESAugust 22, 2025
Certification dateAugust 22, 2025

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolOHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Graduated 2016 (10 years in practice)
Group practice Gcga Physicians Inc. — 77 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

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