Doctor Name: | PILAR M PRABHU |
NPI Number: | 1699701789 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DO |
License Number: | OS010875L |
Business Practice Address: | 500 University Dr Hershey, PA - 170332360 |
Business Phone Number: | 8002431455 |
Business Fax Number: | |
Mailing Address: | Po Box 854, Mc A410 HERSHEY |
State: | PA |
Postal Code: | 170330854 |
Phone Number: | 7175315995 |
Fax Number: | |
NPI Enumeration Date: | 06/23/2006 |
NPI Last Update Date: | 04/02/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085B0100X |
License Number: | OS010875L |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Body Imaging |
Taxonomy Definition: | A Radiology doctor of Osteopathy that specializes in Body Imaging. |