Pisipati, Prabhakar

Pisipati, Prabhakar is an individual health care provider with primary practice located at 1075 Jesse Jewell Pkwy Ne Ste A , Gainesville GA 30501-3814. He recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Psychiatry, which is considered as his primary health care specialty. Pisipati, Prabhakar can be contacted via phone (770) 219-5407.

Contact Information

Primary practice address
1075 Jesse Jewell Pkwy Ne Ste A Gainesville GA 30501-3814
Phone: (770) 219-5407
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Psychiatry 2084P0805X 4301061688 Michigan
Allopathic & Osteopathic Physicians / Geriatric Psychiatry 2084P0805X 30143 Iowa
Allopathic & Osteopathic Physicians / Geriatric Psychiatry 2084P0805X 79002 Georgia

Profile Details

NPI number 1649276437
LBN Legal business name Pisipati, Prabhakar
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 26th, 2005
Last updated Nov 1st, 2023 - about 2 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 1649276437 NPPES
Georgia Other 79002 GA LICENSE
Georgia MEDICAID 2115774 GA LICENSE

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