Individual
DR. AVANI PRABHAKAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MBBS MPH
Contact information
Practice address
600 N WOLFE STREET, BLALOCK 359, BALTIMORE, MD 21287-0005
(410) 955-8305
(410) 955-2098
Mailing address
6201 GREENLEIGH AVE, MIDDLE RIVER, MD 21220-2004
(410) 933-2704
(410) 933-1390
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301091512
MI
207R00000X
Internal Medicine Physician
Primary
D86504
MD
Other
Enumeration date
09/12/2007
Last updated
05/19/2023
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