Individual
DR. ROSHAN D PRABHU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1074 S STATE ST, DOVER, DE 19901-6925
(302) 725-3214
(302) 725-3215
Mailing address
640 S. STATE STREET, MAIL CODE 3055, DOVER, DE 19901-3530
(302) 480-1688
(302) 480-9807
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
C1-0010974
DE
Other
Enumeration date
10/09/2013
Last updated
05/08/2021
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