Prabharasuth, Derek

Prabharasuth, Derek is an sole proprietor health care provider with primary practice located at 11760 Sw 40Th St Ste 403 , Miami FL 33175-3595. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Prabharasuth, Derek can be contacted via phone (305) 226-2020.

Contact Information

Primary practice address
11760 Sw 40Th St Ste 403 Miami FL 33175-3595
Phone: (305) 226-2020
Fax: (305) 226-2018
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X ME122730 Florida
Allopathic & Osteopathic Physicians / Urology 208800000X 74307 Georgia
Allopathic & Osteopathic Physicians / Urology 208800000X 60 255424 New York

Profile Details

NPI number 1164846986
LBN Legal business name Prabharasuth, Derek
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 13th, 2014
Last updated Aug 25th, 2020 - about 5 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.

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