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Individual

SHREYA SUMAN PRABHU

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
555 S 18TH ST STE 4C, COLUMBUS, OH 43205-2654
(614) 224-6222
(614) 241-5232
Mailing address
555 S 18TH ST STE 4C, COLUMBUS, OH 43205-2654
(614) 224-6222

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
35.151074
OH
207WX0110X
Pediatric Ophthalmology and Strabismus Specialist Physician
35151074
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0392921
OH
Enumeration date
06/07/2008
Last updated
09/15/2025
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