Organization
RAVINDRA PRABHU MD A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAVINDRA PRABHU MD (MD.)
(619) 482-4333
Entity
Organization
Contact information
Practice address
754 MEDICAL CENTER CT., SUITE 206, CHULA VISTA, CA 91911-6656
(619) 482-4333
(619) 482-4445
Mailing address
754 MEDICAL CENTER CT., SUITE 206, CHULA VISTA, CA 91911-6656
(619) 482-4333
(619) 482-4445
Taxonomy
Speciality
Code
Description
License number
State
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
A37174
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A371740
—
CA
Enumeration date
08/13/2013
Last updated
09/10/2013
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