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

Tannavi Prakash

Individual provider Internal Medicine Physician · NPI 1649910175

Tannavi Prakash is an Internal Medicine in Elizabeth, New Jersey. Qualified in 2025, 1 year ago. Licensed in New Jersey.

Years since qualifying
1
Licensed in
NJ
In the registry since
2022
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Practice location Address checks out

200 Williamson St Ste 120
Elizabeth, NJ 07202-2909
Phone: (908) 662-9632
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 25MA12725300 (NJ)

Record details

NPI number1649910175
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 31, 2022
Last updated in NPPESDecember 1, 2025
Certification dateDecember 1, 2025
Mailing address200 Williamson St Ste 120, Elizabeth, NJ 07202-2909

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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