Individual
DR. WILLIAM J PRABHU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
161 FORT WASHINGTON AVE, NEW YORK, NY 10032-3729
(212) 305-7060
Mailing address
630 W 168TH ST # 4, NEW YORK, NY 10032-3725
(212) 305-7060
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
293186-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
293186-1
LICENSCE
NY
Enumeration date
04/13/2009
Last updated
05/30/2024
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