Individual
PRANAV RAGHUNATH PRABHU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1555 LONG POND RD, DEPARTMENT OF MEDICINE, ROCHESTER, NY 14626-4122
(585) 723-7870
(585) 723-7871
Mailing address
1555 LONG POND RD, DEPARTMENT OF MEDICINE, ROCHESTER, NY 14626-4122
(585) 723-7870
(585) 723-7871
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
015786
NY
363AM0700X
Medical Physician Assistant
15786
NY
Other
Enumeration date
08/14/2012
Last updated
06/30/2023
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