Individual
DR. HIMA B PRABHAKAR
Active
Individual
DR. HIMA B PRABHAKAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD442129
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1872640-03
—
TX
01
—
1872640-04
MEDICAID - STRIC
TX
01
—
1872640-05
MEDICAID - CSHCN
TX
01
—
8L5908
MEDICARE - STRIC
TX
01
—
8S3959
BCBS PROVIDER #
TX
01
—
M8259
TEXAS LICENSE
TX
01
—
P00692121
RR MEDICARE - STRG
TX
01
—
P00692125
RR MEDICARE - STRIC
TX
Enumeration date
02/17/2006
Last updated
11/16/2016
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