Prabhu, Sumanth Damodar

Prabhu, Sumanth Damodar is an individual health care provider with primary practice located at 1 Barnes Jewish Hospital Plz Div Im Cardiology, Saint Louis MO 63110-1003. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Advanced Heart Failure and Transplant Cardiology. Allopathic & Osteopathic Physicians / Advanced Heart Failure and Transplant Cardiology is his primary health care specialty. Prabhu, Sumanth Damodar can be contacted via phone (314) 362-1291.

Contact Information

Primary practice address
1 Barnes Jewish Hospital Plz Div Im Cardiology Saint Louis MO 63110-1003
Phone: (314) 362-1291
Fax: (314) 362-4278
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 2021038192 Missouri
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 2021038192 Missouri
Allopathic & Osteopathic Physicians / Advanced Heart Failure and Transplant Cardiology 207RA0001X 2021038192 Missouri

Profile Details

NPI number 1265417992
LBN Legal business name Prabhu, Sumanth Damodar
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 15th, 2005
Last updated Nov 15th, 2021 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265417992 NPPES
Missouri MEDICAID 200102839

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