Individual
NAMRATHA PRABHU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5565 GROSSMONT CENTER DRIVE, BLDG. 3, SUITE 540, LA MESA, CA 91942-3024
(619) 460-2700
(619) 460-2702
Mailing address
5565 GROSSMONT CENTER DRIVE, BLDG. 3, SUITE 540, LA MESA, CA 91942-3024
(619) 460-2700
(619) 460-2702
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
A153978
CA
208VP0014X
Interventional Pain Medicine Physician
Primary
A153978
CA
282N00000X
General Acute Care Hospital
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Other
Enumeration date
05/14/2013
Last updated
02/26/2021
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