Individual
VINAY PRABHAKARAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8328 E. HARTFORD DR., SCOTTSDALE, AZ 85255
(480) 214-9720
(480) 214-9722
Mailing address
8328 E. HARTFORD DR., SCOTTSDALE, AZ 85255
(502) 637-1005
(502) 635-0046
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
38813
KY
207R00000X
Internal Medicine Physician
Primary
40421
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000336564
ANTHEM FACETS PIN
KY
05
—
352442
—
AZ
05
—
64083587
—
KY
Enumeration date
07/15/2006
Last updated
01/02/2014
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