Individual
PRABIN PHUYAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
500 SW RAMSEY AVE, GRANTS PASS, OR 97527-5554
(732) 799-8857
Mailing address
500 SW RAMSEY AVE, GRANTS PASS, OR 97527-5554
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD220921
OR
Other
Enumeration date
10/27/2021
Last updated
08/19/2025
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