Individual
ANOOP PRABHU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3400 OLENTANGY RIVER RD, COLUMBUS, OH 43202-1523
(614) 754-5500
(614) 754-5501
Mailing address
3400 OLENTANGY RIVER RD, COLUMBUS, OH 43202-1523
(614) 754-5500
(614) 754-5501
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301090114
MI
207RG0100X
Gastroenterology Physician
312429
NY
207RG0100X
Gastroenterology Physician
Primary
35.151041
OH
207RG0100X
Gastroenterology Physician
4301090114
MI
207RG0100X
Gastroenterology Physician
P89579
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0369151
—
OH
Enumeration date
07/19/2007
Last updated
12/05/2024
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