Prabhu, Satish D
Prabhu, Satish D is an sole proprietor health care provider with primary practice located at 111 Otis Smith Dr , Clarksville TN 37043-8940. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Prabhu, Satish D can be contacted via phone (931) 553-6666.Contact Information
Primary practice address
111 Otis Smith Dr
Clarksville TN 37043-8940
Phone: (931) 553-6666
Fax: (931) 553-4006
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MD27382 | Tennessee |
Profile Details
| NPI number | 1295732436 |
|---|---|
| LBN Legal business name | Prabhu, Satish D |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 1st, 2005 |
| Last updated | Jul 6th, 2012 - about 12 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 | 1295732436 | NPPES |
| Tennessee | MEDICAID | 3897887 |
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