| Doctor Name: | PRASHANT NAKSHATRI |
| NPI Number: | 1477941219 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | 16192 |
| Business Practice Address: | 1035 W Beverly Blvd Montebello, CA - 906404138 |
| Business Phone Number: | 3237241315 |
| Business Fax Number: | 3237241053 |
| Mailing Address: | C/o K.g.nakshatri, Vasuki, Ambalpady Post, Udupi Dist, Karnataka And India UDUPI |
| State: | KARNATAKA |
| Postal Code: | 576116 |
| Phone Number: | 0919482044 |
| Fax Number: | 0123456789 |
| NPI Enumeration Date: | 01/01/2015 |
| NPI Last Update Date: | 01/01/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 16192 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Speech, Language and Hearing Service Providers |
| Taxonomy Classification: | Speech-Language Pathologist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A speech pathologist is a person qualified by a master |