Individual
MANJESHWAR RAMAKRISHNA PRABHU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1147 BRITTMOORE RD STE 4, HOUSTON, TX 77043-5039
(713) 960-0344
(713) 871-9517
Mailing address
1147 BRITTMOORE RD, SUITE 4, HOUSTON, TX 77043-8103
(713) 960-0344
(713) 871-9517
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
G7307
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
113910702
—
TX
Enumeration date
12/05/2006
Last updated
10/08/2021
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