Organization
SURESH G PRABHU MD PC
Active
Organization
SURESH G PRABHU MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SURESH GOPALAKRISHNA PRABHU MD (OWNER)
(702) 256-3637
Entity
Organization
Contact information
Practice address
653 N TOWN CENTER DR, 217, LAS VEGAS, NV 89144-0514
(702) 256-3637
(702) 256-8510
Mailing address
653 N TOWN CENTER DR, 217, LAS VEGAS, NV 89144-0514
(702) 256-3637
(702) 256-8510
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
9867
NV
Other
Enumeration date
07/25/2006
Last updated
11/02/2011
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