| Doctor Name: | MRS. SHAKUNTALA PRABHU |
| NPI Number: | 1609980101 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MD |
| License Number: | MD034259L |
| Business Practice Address: | 1601 Mayview Rd Bridgeville, PA - 150171547 |
| Business Phone Number: | 4122576507 |
| Business Fax Number: | |
| Mailing Address: | 304 Rawley Dr, PITTSBURGH |
| State: | PA |
| Postal Code: | 152431841 |
| Phone Number: | 4122766066 |
| Fax Number: | |
| NPI Enumeration Date: | 08/19/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | MD034259L |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |