Individual
DR. SUDHAKAR HEJMADI PRABHU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
9920 4TH AVE, SUITE 315, BROOKLYN, NY 11209-8333
(718) 833-2620
(718) 833-6511
Mailing address
9920 4TH AVE, SUITE 315, BROOKLYN, NY 11209-8333
(718) 833-2620
(718) 833-6511
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
123558
NY
207RC0000X
Cardiovascular Disease Physician
Primary
123558
NY
207UN0901X
Nuclear Cardiology Physician
123558
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00278253
—
NY
Enumeration date
02/18/2007
Last updated
09/11/2025
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