Individual
RAJEEV PRABAKARAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
311 9TH ST N STE 304, NAPLES, FL 34102-5887
(239) 624-2730
(239) 624-2731
Mailing address
311 9TH ST N STE 304, NAPLES, FL 34102-5887
(239) 624-2730
(239) 624-2731
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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