Prabhushankar, Roopashree
Prabhushankar, Roopashree is an individual health care provider with primary practice located at 612 W Baseline Rd , Mesa AZ 85210-6041. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism. Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism is her primary health care specialty. Prabhushankar, Roopashree can be contacted via phone (480) 834-9039.Contact Information
Primary practice address
612 W Baseline Rd
Mesa AZ 85210-6041
Phone: (480) 834-9039
Fax: (480) 964-7802
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | 2013020803 | Missouri |
| Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism | 207RE0101X | 49977 | Arizona |
Profile Details
| NPI number | 1831402429 |
|---|---|
| LBN Legal business name | Prabhushankar, Roopashree |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 23rd, 2010 |
| Last updated | Sep 2nd, 2015 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1831402429 | NPPES |
| Arizona | MEDICAID | 019985 |
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