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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 last year

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 1851364749 NPPES
Georgia MEDICAID 00758458A

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