Amuluru, Prabhakara

Amuluru, Prabhakara is an individual health care provider with primary practice located at 111 Central Ave , Newark NJ 07102-1909. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Amuluru, Prabhakara can be contacted via phone (973) 877-5000.

Contact Information

Primary practice address
111 Central Ave Newark NJ 07102-1909
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X MA32408 New Jersey
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 25MA03240800 New Jersey

Profile Details

NPI number 1184629511
LBN Legal business name Amuluru, Prabhakara
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2005
Last updated Mar 19th, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184629511 NPPES
New Jersey MEDICAID 1440802

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