Organization
H.SUDHAKAR PRABHU,MD,PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUDHAKAR H PRABHU MD (PRESIDENT)
(718) 833-2620
Entity
Organization
Contact information
Practice address
9920,4TH AVE, BROOKLYN, NY 11209-8333
(718) 833-2620
Mailing address
9920 4TH AVE, BROOKLYN, NY 11209-8333
(718) 833-2620
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
123558
NY
Other
Enumeration date
01/11/2012
Last updated
01/11/2012
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