Prabhakara, Hosamane S
Prabhakara, Hosamane S is an individual health care provider with primary practice located at 300 East Hospital Road Eishenhower Medical Ctr, Fort Gordon GA 30905-5650. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Allergy & Immunology. Allopathic & Osteopathic Physicians / Allergy & Immunology is his primary health care specialty. Prabhakara, Hosamane S can be contacted via phone (706) 787-9123.Contact Information
Primary practice address
300 East Hospital Road Eishenhower Medical Ctr
Fort Gordon GA 30905-5650
Phone: (706) 787-9123
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 042394 | Georgia |
| Allopathic & Osteopathic Physicians / Allergy & Immunology | 207K00000X | 042394 | Georgia |
Profile Details
| NPI number | 1851364749 |
|---|---|
| LBN Legal business name | Prabhakara, Hosamane S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 10th, 2006 |
| Last updated | Apr 23rd, 2024 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1851364749 | NPPES |
| Georgia | MEDICAID | 00758458A |
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