| | Physician Last Name: | Prakash |
| | Physician First Name: | Om |
| | Physician Middle Name: | |
| | Address: | 8510 Links Road
Buena Park, California 90621 |
| | License Number: | 099614 |
| | License Type: | MD |
| | Year of Birth: |
1933
|
| | Effective Date: | 12/28/2004 |
| | Action Description for DOH Webpage: | The physician will never activate his New York State medical license registration or seek to reapply for a license to practice medicine in New York State. |
| | Misconduct Description for DOH Webpage: | The physician did not contest the charge of having been disciplined by the California State Medical Board for failing to maintain adequate records |
| | License Limitations or Conditions for DOH Webpage: | |
| | Board Order: |
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