Sudheer M Jayaprabhu in Texarkana - Specialist
Sudheer M Jayaprabhu - NPI 1639176555
Sudheer M Jayaprabhu is a Specialist in Texarkana, Texas. Sudheer M Jayaprabhu practices all healthcare services and medical treatments related to Specialist. The NPI Number for Sudheer M Jayaprabhu is 1639176555. The last update date is 2009-10-29.
Sudheer M Jayaprabhu's current location address is 1002 Texas Blvd, Texarkana, Texas. You can contact this provider via phone number 9037924808 and fax number 9037922681. The mailing address for Sudheer M Jayaprabhu is 1002 Texas Blvd, Texarkana, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Sudheer M Jayaprabhu |
|---|---|
| Address | 1002 Texas Blvd, Texarkana, Texas |
| Phone Number | 9037924808 |
| Fax Number | 9037922681 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1639176555 |
|---|---|
| Provider Enumeration Date | 2005-07-07 |
| Last Updated Date | 2009-10-29 |
Provider Mailing Address Detail
| Address | 1002 Texas Blvd |
|---|---|
| City | Texarkana |
| State | Texas (TX) |
| Post Code | 755015107 |
| Phone Number | 9037924808 |
| Fax Number | 9037922681 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | L2351 |
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Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 145699804 | TX | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Sudheer M Jayaprabhu by the Centers for Medicare & Medicaid Services?
The Sudheer M Jayaprabhu has been assigned the NPI (National Provider Identifier) 1639176555 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Can you provide the Sudheer M Jayaprabhu's physical address?
The Sudheer M Jayaprabhu is physically located at 1002 Texas Blvd, in the city of Texarkana, TX, with the postal code 755015107.
What is Sudheer M Jayaprabhu's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Sudheer M Jayaprabhu is Specialist, and the corresponding taxonomy classification code for this specialized field is 174400000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1639176555 to Sudheer M Jayaprabhu?
The Centers for Medicare & Medicaid Services assigned the 1639176555 to Sudheer M Jayaprabhu on 2005-07-07.
When was the information related to Sudheer M Jayaprabhu most recently updated or refreshed?
The details pertaining to the Sudheer M Jayaprabhu, including its address, specialty, and other relevant information, were last updated or refreshed on 2009-10-29.