Individual
SUJATA PRABHU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
SHILEY EYE CTR, 9415 CAMPUS POINT DRIVE, LA JOLLA, CA 92093-0946
(858) 534-8858
(858) 822-0040
Mailing address
SHILEY EYE CTR, 9415 CAMPUS POINT DRIVE, LA JOLLA, CA 92093-0946
(858) 534-8858
(858) 822-0040
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
A115965
CA
Other
Enumeration date
02/15/2008
Last updated
03/10/2011
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