Individual
DR. PRABHAKAR TRIPURANENI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10670 JOHN J HOPKINS DR, SAN DIEGO, CA 92121-1120
(858) 554-4100
Mailing address
10790 RANCHO BERNARDO RD, SAN DIEGO, CA 92127-5705
(858) 554-4100
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
A38065
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A380650
—
CA
Enumeration date
05/12/2006
Last updated
01/06/2020
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