Individual
DR. RAVINDRA PRABHU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
754 MEDICAL CENTER CT, SUITE 203, CHULA VISTA, CA 91911-6654
(619) 482-4333
(619) 482-4445
Mailing address
754 MEDICAL CENTER CT, SUITE 203, CHULA VISTA, CA 91911-6654
(619) 482-4333
(619) 482-4445
Taxonomy
Speciality
Code
Description
License number
State
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
A37174
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A371740
—
CA
Enumeration date
04/24/2006
Last updated
12/04/2009
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