| Doctor Name: | SOUMATHY C PROSPER |
| NPI Number: | 1629271671 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.D |
| License Number: | 103102 |
| Business Practice Address: | 530 3rd St Nw - Mail Stop 39400a Riverway Clinic - Elk River Elk River, MN - 553308863 |
| Business Phone Number: | 7635874800 |
| Business Fax Number: | 7635874885 |
| Mailing Address: | 8170 33rd Ave S, Ms21110q MINNEAPOLIS |
| State: | MN |
| Postal Code: | 554254516 |
| Phone Number: | 9528835375 |
| Fax Number: | 9525874885 |
| NPI Enumeration Date: | 06/07/2007 |
| NPI Last Update Date: | 12/01/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207V00000X |
| License Number: | 103102 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MN |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Obstetrics & Gynecology |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |