Prabhu, Andrea Michelle

Prabhu, Andrea Michelle is an individual health care provider with primary practice located at 3680 Nw Samaritan Dr , Corvallis OR 97330-3737. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Prabhu, Andrea Michelle can be contacted via phone (541) 754-1150.

Contact Information

Primary practice address
3680 Nw Samaritan Dr Corvallis OR 97330-3737
Phone: (541) 754-1150
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X ML60018701 Washington
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X MD196622 Oregon

Profile Details

NPI number 1629232194
LBN Legal business name Prabhu, Andrea Michelle
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 15th, 2008
Last updated Dec 21st, 2020 - about 5 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 1629232194 NPPES
Washington MEDICAID 1629232194
Washington Other 0293846

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