Individual
PRABHA NANJUNDAMURTHY DAKSHAYINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
530 3RD ST NW, ELK RIVER, MN 55330-1445
(763) 587-4800
Mailing address
1 BROOKDALE PLZ, BROOKLYN, NY 11212-3139
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
58643
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/30/2014
Last updated
07/27/2023
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