Individual
DR. SATISH M PRABHU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
9608
SC
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
9608
SC
207LP2900X
Pain Medicine (Anesthesiology) Physician
9608
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
096087
SELECT HEALTH
SC
05
—
096087
—
SC
01
—
2000256
CCP
SC
01
—
4132337
AETNA
SC
01
—
430011027
RR MEDICARE
SC
01
—
77866
MEDCOST
SC
Enumeration date
10/16/2006
Last updated
09/03/2013
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