Individual
DR. ANDREA MICHELLE PRABHU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3680 NW SAMARITAN DR, CORVALLIS, OR 97330-3737
(541) 754-1150
Mailing address
444 NW ELKS DR, CORVALLIS, OR 97330-3758
(541) 754-1150
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD196622
OR
207V00000X
Obstetrics & Gynecology Physician
ML60018701
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0293846
L&I
WA
05
—
1629232194
—
WA
Enumeration date
07/15/2008
Last updated
12/21/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us