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Individual
DR. SHEELA PRABHU
Active
Individual
DR. SHEELA PRABHU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
235670-1
NY
207R00000X
Internal Medicine Physician
Primary
MD422496
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02574243
—
NY
05
—
1011640380001
—
PA
01
—
CC9269
RR MEDICARE GROUP
PA
01
—
GU039812
PA MEDICARE GROUP
PA
01
—
P00150588
RR MEDICARE PIN
PA
Enumeration date
02/09/2006
Last updated
03/04/2021
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