Individual
DR. PRAMOD V. PRABHU
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1401 N ELM ST, HENDERSON, KY 42420-2784
(270) 827-0255
(270) 826-5342
Mailing address
906 S HEBRON AVE, EVANSVILLE, IN 47714-4079
(812) 476-1367
(812) 477-4153
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
01039835
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64283179
—
KY
Enumeration date
04/05/2006
Last updated
07/08/2007
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