Individual
ABHISHEK PRABHU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
207 N TOWNLINE RD, LAGRANGE, IN 46761-1325
(260) 482-4440
Mailing address
608 UNION CHAPEL RD, FORT WAYNE, IN 46845-9357
(248) 875-6735
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
02006789A
IN
207P00000X
Emergency Medicine Physician
5151014320
MI
Other
Enumeration date
06/08/2020
Last updated
12/19/2025
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