Individual
MR. SHAHI KRISHNAN PRABHAKARAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSN
Contact information
Practice address
4313 BEL PRE RD, ROCKVILLE, MD 20853
(301) 442-0908
Mailing address
4313 BEL PRE RD, ROCKVILLE, MD 20853
(301) 442-0908
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN57971
DC
Other
Enumeration date
03/28/2007
Last updated
08/15/2018
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