Individual
RAJEEV PRABAKARAN
Active
Individual
RAJEEV PRABAKARAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
ME 118881
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
011809100
—
FL
01
—
14UW9
BCBS
FL
01
—
HW302Z
MEIDCARE
FL
01
—
K7665
MEDICARE GROUP
FL
Enumeration date
04/30/2008
Last updated
09/01/2017
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