Individual
AILEEN R PRABHAKARAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
910 N EISENHOWER AVE, MASON CITY, IA 50401-1525
(641) 428-7799
(641) 428-5274
Mailing address
600 1ST ST NW STE 101, MASON CITY, IA 50401-2932
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
41250
IA
207Q00000X
Family Medicine Physician
R-8756
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0230169
—
IA
Enumeration date
07/02/2009
Last updated
07/15/2025
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