Individual
DR. KARTIK PRABHAKARAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 WOODS RD, VALHALLA, NY 10595-1530
(914) 372-7196
(914) 909-6417
Mailing address
19 BRADHURST AVE, HAWTHORNE, NY 10532-2140
(914) 372-7196
(914) 909-6417
Taxonomy
Speciality
Code
Description
License number
State
2086S0102X
Surgical Critical Care Physician
Primary
275675
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03917553
—
NY
Enumeration date
09/15/2011
Last updated
06/21/2016
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