Individual
ANGELINE PRABHU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2435 FIRE MESA ST STE 120, LAS VEGAS, NV 89128-9009
(702) 968-2437
(702) 479-1796
Mailing address
2600 SIXTH ST SW, CANTON, OH 44710-1702
(303) 363-6223
(330) 363-3877
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
21962
NV
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/23/2014
Last updated
04/07/2022
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