Tella, Prabhav K
Tella, Prabhav K is an individual health care provider with primary practice located at 7243 Della Dr Fl 3 , Orlando FL 32819-5104. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Interventional Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. Tella, Prabhav K can be contacted via phone (321) 841-1570.Contact Information
Primary practice address
7243 Della Dr Fl 3
Orlando FL 32819-5104
Phone: (321) 841-1570
Fax: (321) 841-1569
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | M6482 | Texas |
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 227336 | Massachusetts |
Allopathic & Osteopathic Physicians / Interventional Pain Medicine | 208VP0014X | ME144162 | Florida |
Allopathic & Osteopathic Physicians / Pain Medicine | 2081P2900X | ME144162 | Florida |
Profile Details
NPI number | 1013942358 |
---|---|
LBN Legal business name | Tella, Prabhav K |
Credentials | MD, MPH |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 12th, 2006 |
Last updated | Feb 14th, 2023 - about last year |
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 | 1013942358 | NPPES |
Texas | MEDICAID | 187111301 | |
Texas | MEDICAID | 117107000 |
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