Individual
SATISH D PRABHU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
111 OTIS SMITH DR, CLARKSVILLE, TN 37043-8940
(931) 553-6666
(931) 553-4006
Mailing address
111 OTIS SMITH DR, CLARKSVILLE, TN 37043-8940
(931) 553-6666
(931) 553-4006
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD27382
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3897887
—
TN
Enumeration date
07/01/2005
Last updated
07/06/2012
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