Dr. Prakash P Devaskar --

MD | Pediatrics | Male

Dr. Prakash P Devaskar --, MD is a Fort Bragg, California based Pediatric doctor with medical specialization in General Pediatrics. Current practice location of Dr. Prakash P Devaskar -- is 700 River Dr, Fort Bragg, California - 95437-5403. He can be contacted on phone at 707-961-4631 and fax number 707-964-1192. Dr. Prakash P Devaskar -- is a sole proprietor of his business.
NPI number (Unique professional ID) for Dr. Prakash P Devaskar -- is 1912079294 which was assigned by NPPES on 14 Nov, 2006 and it was last updated on 07 Mar, 2023. Dr. Prakash P Devaskar -- license number is CA00A350680 for Pediatrics (208000000X) in California.
Dr. Prakash P Devaskar -- is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Dr. Prakash P Devaskar -- basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
Specialization :Pediatrics
Provider Name :Dr. Prakash P Devaskar --
Credential :MD
Gender :Male
Business Address:
Dr. Prakash P Devaskar -- address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
Primary Address :700 River Dr
Fort Bragg, CA, 95437-5403
United States
Phone Number :707-961-4631
Fax Number :707-964-1192
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
NPI Number : 1912079294
NPI Entity Type : Individual
First Enrolment Date : 14 Nov, 2006
Last Updated On : 07 Mar, 2023
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Prakash P Devaskar -- are as mentioned. Primary taxonomy code for Dr. Prakash P Devaskar --, MD is 208000000X (Pediatrics).
Taxonomy Code SpecialityPrimaryLicense No.State
208000000XPediatricsYesCA00A350680CA
Legacy Identifiers:
Other legacy medical identifiers of Dr. Prakash P Devaskar -- such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
IdentifierIdentifier TypeStateIssuer
00A350680Other (non-Medicare)California State Lic
68-0326919MEDICAIDCA
A27673MEDICARE UPINCA
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
Mailing Address :700 River Dr
Fort Bragg, CA, 95437-5403
United States
Phone Number :707-961-4631
Fax Number :707-964-1192
Business Location:
Patients can refer following map for directions to Dr. Prakash P Devaskar -- practice address. Don't forget to take prior appointment before visiting.

** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.