Individual
DR. NAYANA PRABHU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2350 N STEMMONS FWY, DALLAS, TX 75207-2700
(214) 456-2768
Mailing address
PO BOX 845347, DALLAS, TX 75284-3487
(214) 590-8000
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
V3680
TX
2084E0001X
Epilepsy Physician
V3680
TX
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
V3680
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
V3680
LICENSE
TX
Enumeration date
04/01/2018
Last updated
03/27/2026
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