Prabhu, Manjeshwar B.

Prabhu, Manjeshwar B. is an individual health care provider with primary practice located at 1730 E Lake Shore Dr Ste 301 , Decatur IL 62521-3809. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Sleep Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Prabhu, Manjeshwar B. can be contacted via phone (217) 329-1000.

Contact Information

Primary practice address
1730 E Lake Shore Dr Ste 301 Decatur IL 62521-3809
Phone: (217) 329-1000
Fax: (217) 329-1055
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036083999 Illinois
Allopathic & Osteopathic Physicians / Sleep Medicine 207RS0012X 036083999 Illinois
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 036-083999 Illinois

Profile Details

NPI number 1770683450
LBN Legal business name Prabhu, Manjeshwar B.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 23rd, 2006
Last updated Jan 3rd, 2022 - about 4 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1770683450 NPPES
Illinois MEDICAID 036083999

Popular Providers