Organization
RAINBOW ENTERPRISE PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SATISH PRABHU MD (OWNER)
(931) 553-6666
Entity
Organization
Contact information
Practice address
111 OTIS SMITH DR, CLARKSVILLE, TN 37043-8940
(931) 553-6666
(931) 553-4006
Mailing address
111 OTIS SMITH DR, CLARKSVILLE, TN 37043-8940
(931) 553-6666
(931) 553-4006
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
27382
TN
Other
Enumeration date
08/07/2012
Last updated
08/07/2012
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