Individual
NAYANTARA COELHO-PRABHU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-2511
Mailing address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-2511
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
57008398
OH
207RG0100X
Gastroenterology Physician
Primary
49953
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
434152100
—
MN
Enumeration date
05/25/2007
Last updated
08/12/2020
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