Prabhu, Prasanna S
Prabhu, Prasanna S is an individual health care provider with primary practice located at 3599 University Blvd S Building 300, Jacksonville FL 32216-4252. She recently has 7 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Body Imaging, Allopathic & Osteopathic Physicians / Neuroradiology, Allopathic & Osteopathic Physicians / Nuclear Radiology, Allopathic & Osteopathic Physicians / Pediatric Radiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, Allopathic & Osteopathic Physicians / Diagnostic Ultrasound. Allopathic & Osteopathic Physicians / Body Imaging is her primary health care specialty. Prabhu, Prasanna S can be contacted via phone (904) 399-5550.Contact Information
Primary practice address
3599 University Blvd S Building 300
Jacksonville FL 32216-4252
Phone: (904) 399-5550
Fax: (904) 346-4334
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Body Imaging | 2085B0100X | ME37538 | Florida |
| Allopathic & Osteopathic Physicians / Neuroradiology | 2085N0700X | ME37538 | Florida |
| Allopathic & Osteopathic Physicians / Nuclear Radiology | 2085N0904X | ME37538 | Florida |
| Allopathic & Osteopathic Physicians / Pediatric Radiology | 2085P0229X | ME37538 | Florida |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | ME37538 | Florida |
| Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | ME37538 | Florida |
| Allopathic & Osteopathic Physicians / Diagnostic Ultrasound | 2085U0001X | ME37538 | Florida |
Profile Details
| NPI number | 1275593287 |
|---|---|
| LBN Legal business name | Prabhu, Prasanna S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 24th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1275593287 | NPPES |
| Georgia | MEDICAID | 00232779E | |
| Georgia | Other | 15658 |
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