Individual
DR. ASHA PRABHU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
33 MAIN DR, NORTH WARREN, PA 16365-5001
(814) 726-4317
Mailing address
304 RAWLEY DRIVE, PITTSBURGH, PA 15243
(412) 276-6068
(814) 726-4447
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD060113L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
159751
MEDICARE ID-TYPE SPECIFIED
PA
Enumeration date
09/27/2006
Last updated
09/04/2009
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