Prakash N Prabhu MD

NPI 1083689715 - Specialist - 174400000X

NPI Details
NPI 1083689715
Gender Male
Enumeration Date 02/17/2006
Last Updated 01/25/2012
Entity Type Individual
Active Over 11 years ago
Practice Location
121 PARK CENTRAL DR
200
COLUMBIA SC, 29203-6469, US
Phone (803) 252-9907
Fax (803) 252-9906
Business Location
121 PARK CENTRAL DR
SUITE 200
COLUMBIA SC, 29203-6469, US
Phone (803) 252-9907
Fax (803) 252-9906
Toxanomy
Taxonomy Code 174400000X
License State South Carolina
License Number 21216
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According to our database, Dr. Prakash N Prabhu MD NPI is 1083689715, taxonomy code is 174400000X and license number is 21216, license state is located at South Carolina. Prakash N Prabhu MD physically located at 121 Park Central Dr, Columbia SC, 29203-6469. NPI Number Prakash N Prabhu MD has the Individual type.

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1083689715 NPI number is provided on an as is basis without warranty of any kind. 1083689715 is maintained by the National Plan & Provider Enumeration System. The contents of Prakash N Prabhu MD are for informational purposes only.