Individual
DR. PRABHAKAR P. KESAVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
19020 33RD AVE W STE 210, LYNNWOOD, WA 98036-4748
(425) 563-1500
(425) 563-1501
Mailing address
19020 33RD AVE W STE 210, LYNNWOOD, WA 98036-4748
(425) 563-1500
(425) 563-1374
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
Primary
MD00040798
WA
2085R0202X
Diagnostic Radiology Physician
K4102
TX
2085R0202X
Diagnostic Radiology Physician
MD00040798
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
128936506
—
TX
05
—
2076662
—
WA
Enumeration date
05/31/2005
Last updated
07/21/2022
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