# LAWRENCE P PRABHAKAR

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1467482828
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208C00000X | Colon & Rectal Surgery Physician | 036098121 | IL | Yes |

## Other

- **Enumeration date:** 07/03/2006
- **Last updated:** 10/06/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 036098121 | — | IL |
| 01 | — | 280000796 | RAILROAD MEDICARE | — |
| 05 | — | 32473900 | — | WI |