Individual
CHANDRA PRABHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
110 N 29TH ST, STE. 302, NORFOLK, NE 68701-4461
(402) 844-8190
(402) 844-8191
Mailing address
110 N 29TH ST, STE. 302, NORFOLK, NE 68701-4461
(402) 844-8190
(402) 844-8191
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
23389
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
247335
MIDLANDS CHOICE
NE
01
—
30075
BCBSNE
NE
01
—
P00255285
RR
NE
Enumeration date
06/16/2006
Last updated
01/11/2008
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