Individual
HEJMADI SHANKAR NARAYAN PRABHU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
374 STOCKHOLM ST, BROOKLYN, NY 11237-4006
(718) 963-7101
Mailing address
374 STOCKHOLM ST, BROOKLYN, NY 11237-4006
(718) 963-7101
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
003231
NY
Other
Enumeration date
07/03/2008
Last updated
07/23/2012
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