License holder summary

Shimoga Ramaiah Prakash is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Shimoga Ramaiah Prakash is Northridge Internal Medicine, 1704 Lafayette Road Ste 8, Crawfordsville IN 47933. This licensed professional license is current. The license was granted 04/08/2013 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Shimoga Ramaiah Prakash
Controlled Substance Registration - Physician
License number
01072406B
Date granted
04/08/2013
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Northridge Internal Medicine, 1704 Lafayette Road Ste 8, Crawfordsville IN 47933
indianalicensing.org
ID 5840584
LAST UPDATED 2026-07-12 02:31:07 UTC

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