Individual
SHARMA S. PRABHAKAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3601 4TH ST, LUBBOCK, TX 79430-9410
(806) 743-3150
(806) 743-3168
Mailing address
PO BOX 5865, LUBBOCK, TX 79408-5865
(806) 743-3150
(806) 743-3168
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
K7082
TX
207RN0300X
Nephrology Physician
Primary
K7082
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
044190901
TMHP
TX
05
—
048538501
—
TX
05
—
100153390A
—
OK
05
—
121752100
—
TX
01
—
121752101
FIRSTCARE COMMERCIAL
TX
01
—
52507
PRESBYTERIAN COMMERCIAL
NM
05
—
52507
—
NM
01
—
82842Z
HMO BLUE
TX
01
—
84260S
BC/BS
TX
01
—
A250
TRIWEST
NM
05
—
S8208
—
NM
Enumeration date
10/19/2005
Last updated
11/10/2021
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