Individual
DR. ROSHAN SUDHIR PRABHU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1021 MOREHEAD MEDICAL DR, CHARLOTTE, NC 28204-2839
(704) 333-7376
(704) 333-3397
Mailing address
200 QUEENS RD, SUITE 400, CHARLOTTE, NC 28204-3253
(704) 333-7376
(704) 333-3397
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
2013-00525
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/30/2008
Last updated
07/22/2013
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