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Individual
PRASANNA S PRABHU
Active
Individual
PRASANNA S PRABHU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
ME37538
FL
2085N0700X
Neuroradiology Physician
ME37538
FL
2085N0904X
Nuclear Radiology Physician
ME37538
FL
2085P0229X
Pediatric Radiology Physician
ME37538
FL
2085R0202X
Diagnostic Radiology Physician
ME37538
FL
2085R0204X
Vascular & Interventional Radiology Physician
ME37538
FL
2085U0001X
Diagnostic Ultrasound Physician
Primary
ME37538
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00232779E
—
GA
01
—
15658
BCBS
FL
Enumeration date
03/24/2006
Last updated
07/13/2026
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