Prabhu, Ravindra

Prabhu, Ravindra is an sole proprietor health care provider with primary practice located at 754 Medical Center Ct Suite 203, Chula Vista CA 91911-6654. He recently has only one registered license in Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology, which is considered as his primary health care specialty. Prabhu, Ravindra can be contacted via phone (619) 482-4333.

Contact Information

Primary practice address
754 Medical Center Ct Suite 203 Chula Vista CA 91911-6654
Phone: (619) 482-4333
Fax: (619) 482-4445
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology 207RC0001X A37174 California

Profile Details

NPI number 1891751475
LBN Legal business name Prabhu, Ravindra
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 24th, 2006
Last updated Dec 4th, 2009 - about 15 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 1891751475 NPPES
California MEDICAID 00A371740

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