Individual
PRABHAV K TELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MPH
Contact information
Practice address
7243 DELLA DR FL 3, ORLANDO, FL 32819-5104
(321) 841-1570
(321) 841-1569
Mailing address
7243 DELLA DR FL 3, ORLANDO, FL 32819-5104
(321) 841-1570
(321) 841-1569
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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