Individual
NARAYAN PRABHAKAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7905 CALUMET AVE, MUNSTER, IN 46321-2549
(219) 836-3049
(219) 836-7295
Mailing address
PO BOX 781076, DETROIT, MI 48278-1076
(317) 528-4800
(317) 865-1479
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01082063A
IN
207Q00000X
Family Medicine Physician
036-106018
IL
Other
Enumeration date
10/24/2006
Last updated
11/12/2024
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