Prabhakar, Balakrishna R

Prabhakar, Balakrishna R is an sole proprietor health care provider with primary practice located at 1259 Fm 1463 Rd Ste 400 , Katy TX 77494-5480. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Prabhakar, Balakrishna R can be contacted via phone (713) 429-4550.

Contact Information

Primary practice address
1259 Fm 1463 Rd Ste 400 Katy TX 77494-5480
Fax: (832) 397-6426
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 19872 West Virginia
Allopathic & Osteopathic Physicians / Pediatrics 208000000X N 1075 Texas
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 19872 West Virginia
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X N 1075 Texas

Profile Details

NPI number 1821067778
LBN Legal business name Prabhakar, Balakrishna R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 14th, 2006
Last updated May 1st, 2024 - about 7 months 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 1821067778 NPPES
Texas Other N1075 MEDICAL LICENSE
Texas Other 001720356 MEDICAL LICENSE
Texas MEDICAID 6000462000 MEDICAL LICENSE

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