Prabhu, Fiona R.

Prabhu, Fiona R. is an individual health care provider with primary practice located at 3601 4Th St Suite 1C143, Lubbock TX 79430-8143. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Prabhu, Fiona R. can be contacted via phone (806) 743-2757.

Contact Information

Primary practice address
3601 4Th St Suite 1C143 Lubbock TX 79430-8143
Phone: (806) 743-2757
Fax: (806) 743-2563
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X K0545 Texas

Profile Details

NPI number 1770575730
LBN Legal business name Prabhu, Fiona R.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2005
Last updated Jan 10th, 2020 - about 6 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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Identifiers

StateTypeNumberIssuer
All States NPI 1770575730 NPPES
Texas MEDICAID 121753103
Texas MEDICAID 124998903
Texas Other 121753100
Texas Other 82830Z
Texas MEDICAID 124998901
Texas Other 87811G
Texas Other A002
Texas MEDICAID P3642
Texas Other 86797
Texas MEDICAID 86797
Texas MEDICAID 100008000A

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