Prabhu, Vikram C

Prabhu, Vikram C is an individual health care provider with primary practice located at 2160 S 1St Ave (Maguire Center, Rm. 1900), Maywood IL 60153. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Prabhu, Vikram C can be contacted via phone (708) 216-8563.

Contact Information

Primary practice address
2160 S 1St Ave (Maguire Center, Rm. 1900) Maywood IL 60153
Phone: (708) 216-8563
Fax: (708) 216-4948
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X 36111189 Illinois

Profile Details

NPI number 1124005004
LBN Legal business name Prabhu, Vikram C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 30th, 2005
Last updated Mar 4th, 2010 - about 14 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 1124005004 NPPES
Illinois MEDICAID 36111189

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