Tipirneni, Prabhakar
Tipirneni, Prabhakar is an sole proprietor health care provider with primary practice located at 24 Salt Pond Rd Building H-2, Wakefield RI 02879-4314. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Otolaryngology. Other Service Providers / Specialist is his primary health care specialty. Tipirneni, Prabhakar can be contacted via phone (401) 789-0227.Contact Information
Primary practice address
24 Salt Pond Rd Building H-2
Wakefield RI 02879-4314
Phone: (401) 789-0227
Fax: (401) 789-4882
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | RI6624 | Rhode Island |
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | RI6624 | Rhode Island |
Profile Details
| NPI number | 1124059555 |
|---|---|
| LBN Legal business name | Tipirneni, Prabhakar |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 5th, 2006 |
| Last updated | Feb 20th, 2008 - about 17 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 | 1124059555 | NPPES |
| Rhode Island | MEDICAID | 9002254 |
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