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Individual
PRABHAV K TELLA
Active
Individual
PRABHAV K TELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MPH
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
M6482
TX
207R00000X
Internal Medicine Physician
227336
MA
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
ME144162
FL
208VP0014X
Interventional Pain Medicine Physician
ME144162
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
117107000
—
FL
05
—
187111301
—
TX
Enumeration date
07/12/2006
Last updated
02/14/2023
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