Prabhu, Rachakonda D
Prabhu, Rachakonda D is an individual health care provider with primary practice located at 5701 W. Charleston Blvd. Suite100, Las Vegas NV 89146. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Sleep Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Prabhu, Rachakonda D can be contacted via phone (702) 877-9514.Contact Information
Primary practice address
5701 W. Charleston Blvd. Suite100
Las Vegas NV 89146
Phone: (702) 877-9514
Fax: (702) 312-3510
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | 3775 | Nevada |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 3775 | Nevada |
| Allopathic & Osteopathic Physicians / Sleep Medicine | 207RS0012X | 3775 | Nevada |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 3775 | Nevada |
Profile Details
| NPI number | 1538156633 |
|---|---|
| LBN Legal business name | Prabhu, Rachakonda D |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 4th, 2005 |
| Last updated | Oct 29th, 2020 - about 4 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 | 1538156633 | NPPES |
| Nevada | MEDICAID | 2002263 | |
| Nevada | Other | XPY005470 | |
| Nevada | MEDICAID | 1538156633 |
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