Amitabh Prakash (NPI# 1730120700, PAC ID# 2668462862) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1730120700 |
| PAC ID by PECOS | 2668462862 |
| Professional Enrollment ID | I20040528001354 |
| Full Name | Amitabh Prakash |
| Organization Legal Name | SOUTHLAND EMERGENCY MEDICAL ASSOCIATES INC |
| Address |
1111 W La Palma Ave Anaheim CA 92801-2804 |
| Phone Number | 7147741450 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1977 |
| Primary Specialty | EMERGENCY MEDICINE |
| Group Practice PAC ID | 9830466796 |
| Number of Group Practice Members | 19 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050226 | AHMC ANAHEIM REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1111 W La Palma Ave, Anaheim, CA 92801-2804 | 7147741450 | SOUTHLAND EMERGENCY MEDICAL ASSOCIATES INC |
| Organization Legal Name | SOUTHLAND EMERGENCY MEDICAL ASSOCIATES INC |
| Physicians | 9 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gihan K Wetzel | Emergency Medicine | Southland Emergency Medical Associates Inc | 1111 W La Palma Ave, Anaheim, CA 92801-2804 |
| Vijay K Wali | Emergency Medicine | Southland Emergency Medical Associates Inc | 1111 W La Palma Ave, Anaheim, CA 92801-2804 |
| Christopher J Karrumi | Emergency Medicine | Southland Emergency Medical Associates Inc | 1111 W La Palma Ave, Anaheim, CA 92801-2804 |
| Huma N. Khan | Emergency Medicine | Southland Emergency Medical Associates Inc | 1111 W La Palma Ave, Anaheim, CA 92801-2804 |
| Adrienne N O Connell | Family Medicine | Southland Emergency Medical Associates Inc | 1111 W La Palma Ave, Anaheim, CA 92801-2804 |
| Samuel A Saelee | Emergency Medicine | Southland Emergency Medical Associates Inc | 1111 W La Palma Ave, Anaheim, CA 92801-2804 |
| Susan G Socha | Emergency Medicine | Southland Emergency Medical Associates Inc | 1111 W La Palma Ave, Anaheim, CA 92801-2804 |
| Tam T Dang | Emergency Medicine | Southland Emergency Medical Associates Inc | 1111 W La Palma Ave, Anaheim, CA 92801-2804 |
| Street Address |
1111 W LA PALMA AVE |
| City | ANAHEIM |
| State | CA |
| Zip | 92801-2804 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bich N Dang | Anesthesiology | Anesthesia Specialists of Orange County, Inc. | 1111 W La Palma Ave, Anaheim, CA 92801-2804 |
| Alireza C Farrohi | Anesthesiology | Anesthesia Specialists of Orange County, Inc. | 1111 W La Palma Ave, Anaheim, CA 92801-2804 |
| Jaklyn R Mcclendon | Pathology | Pathology Associates of Anaheim A Professional Medical Corporation | 1111 W La Palma Ave, Dept of Pathology, Anaheim, CA 92801-2804 |
| Lemonte A Wood | General Practice | Anesthesia Specialists of Orange County, Inc. | 1111 W La Palma Ave, Anaheim, CA 92801-2804 |
| Gihan K Wetzel | Emergency Medicine | Southland Emergency Medical Associates Inc | 1111 W La Palma Ave, Anaheim, CA 92801-2804 |
| Lei Zhang | Pathology | Pathology Associates of Anaheim A Professional Medical Corporation | 1111 W La Palma Ave, Dept of Pathology, Anaheim, CA 92801-2804 |
| Carmelita H Mapoy | Anesthesiology | Anesthesia Specialists of Orange County, Inc. | 1111 W La Palma Ave, Anaheim, CA 92801-2804 |
| Vijay K Wali | Emergency Medicine | Southland Emergency Medical Associates Inc | 1111 W La Palma Ave, Anaheim, CA 92801-2804 |
| Phong D Vuong | Diagnostic Radiology | Golden West Radiology Medical Group | 1111 W La Palma Ave, Anaheim, CA 92801-2804 |
| Elizabeth A Bales | Anesthesiology | Anesthesia Specialists of Orange County, Inc. | 1111 W La Palma Ave, Anaheim, CA 92801-2804 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gregory J Valentine | Chiropractic | 1661 N Raymond Ave, Suite 105, Anaheim, CA 92801-1146 | |
| Seok Hwan Son | Oral Surgery | 40 E Orangethorpe Ave, Anaheim, CA 92801-1206 | |
| Patricia A Riedel | Nurse Practitioner | Raveen R. Arora Md Facc | 1712 W Medical Ctr Dr, Anaheim, CA 92801-1801 |
| Raveen R Arora | Cardiovascular Disease (cardiology) | Raveen R. Arora Md Facc | 1712 W Medical Ctr Dr, Anaheim, CA 92801-1801 |
| Rajwinder Kaur | Nurse Practitioner | Ashok Amin Md Inc | 1711 W Romneya Dr, Anaheim, CA 92801-1804 |
| Reza Talebi Dolouei | Family Medicine | 1735 W Romneya Dr, Anaheim, CA 92801-1804 | |
| Theodore D Tran | Ophthalmology | 1739 W Romneya Dr, Anaheim, CA 92801-1804 | |
| Juan C Quiros | Cardiovascular Disease (cardiology) | 1735 W Romneya Dr, Anaheim, CA 92801-1804 | |
| Akruti Jignesh Dadhania | Nurse Practitioner | Ashok Amin Md Inc | 1711 W Romneya Dr, Anaheim, CA 92801-1804 |
| Ashokkumar I Amin | Internal Medicine | Ashok Amin Md Inc | 1711 W Romneya Dr, Anaheim, CA 92801-1804 |
| Find all physicians in zip 92801 | |||
| City | ANAHEIM |
| Zip Code | 92801 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | ANAHEIM + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on Amitabh Prakash.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.