Prasanna S Prabhu in Jacksonville - Body Imaging

Prasanna S Prabhu - NPI 1275593287

Prasanna S Prabhu is a Body Imaging in Jacksonville, Florida. Prasanna S Prabhu practices all healthcare services and medical treatments related to Body Imaging. The NPI Number for Prasanna S Prabhu is 1275593287. The last update date is 2007-07-08.

Prasanna S Prabhu's current location address is 3599 University Blvd S, Jacksonville, Florida. You can contact this provider via phone number 9043995550 and fax number 9043464334. The mailing address for Prasanna S Prabhu is 3599 University Blvd S, Jacksonville, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Prasanna S Prabhu
Address 3599 University Blvd S, Jacksonville, Florida
Phone Number 9043995550
Fax Number 9043464334
Sole Proprietor X
Credentials MD

NPI Number Detail

NPI Number 1275593287
Provider Enumeration Date 2006-03-24
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 3599 University Blvd S
City Jacksonville
State Florida (FL)
Post Code 322164252
Phone Number 9043995550
Fax Number 9043464334

Provider's Primary Taxonomy Detail

Speciality Body Imaging
Taxonomy 2085B0100X
Licence No ME37538
Definition:
A Radiology doctor of Osteopathy that specializes in Body Imaging.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
00232779E GA --
15658 FL BCBS

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FAQs about Prasanna S Prabhu

What is the unique identifier code issued to Prasanna S Prabhu by the Centers for Medicare & Medicaid Services (CMS)?

The Prasanna S Prabhu has been assigned the NPI (National Provider Identifier) 1275593287. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Where is the Prasanna S Prabhu located?

The Prasanna S Prabhu is located at 3599 University Blvd S, Jacksonville, FL 322164252.

What is the Prasanna S Prabhu's specialty and taxonomy code?

The Prasanna S Prabhu's specialty is Body Imaging, and the corresponding taxonomy code is 2085B0100X.

On what date was the 1275593287 assigned to Prasanna S Prabhu?

The Prasanna S Prabhu was issued its 1275593287 on 2006-03-24, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information pertaining to Prasanna S Prabhu, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Prasanna S Prabhu, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.

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