Individual
DR. GANGA PRABHAKAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
411 LAUREL ST, SUITE 250, DES MOINES, IA 50314-3017
(515) 235-5000
(515) 288-6713
Mailing address
5880 UNIVERSITY AVE, WEST DES MOINES, IA 50266-8209
(515) 633-3835
(515) 633-3838
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
036148898
IL
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
19367
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1804141000
—
WV
Enumeration date
09/28/2006
Last updated
09/19/2022
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