Individual
DR. KRISHNA MADHAV PRABHU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
800 E 28TH ST STE H2100, MINNEAPOLIS, MN 55407-3723
(612) 863-3900
Mailing address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
(612) 262-9900
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD60972370
WA
207RC0000X
Cardiovascular Disease Physician
Primary
68542
MN
208M00000X
Hospitalist Physician
68542
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/19/2017
Last updated
07/21/2025
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