Individual
VIVEK PRABHAKARAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Contact information
Practice address
600 HIGHLAND AVE, MADISON, WI 53792-0001
(608) 263-8340
(608) 265-6533
Mailing address
7974 UW HEALTH CT, MIDDLETON, WI 53562-5531
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
Primary
D64662
MD
Other
Enumeration date
01/19/2007
Last updated
05/27/2009
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