Tella, Prabhav K

Tella, Prabhav K is an individual health care provider with primary practice located at 7243 Della Dr Fl 3 , Orlando FL 32819-5104. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Interventional Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. Tella, Prabhav K can be contacted via phone (321) 841-1570.

Contact Information

Primary practice address
7243 Della Dr Fl 3 Orlando FL 32819-5104
Phone: (321) 841-1570
Fax: (321) 841-1569
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X M6482 Texas
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 227336 Massachusetts
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X ME144162 Florida
Allopathic & Osteopathic Physicians / Pain Medicine 2081P2900X ME144162 Florida

Profile Details

NPI number 1013942358
LBN Legal business name Tella, Prabhav K
Credentials MD, MPH
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2006
Last updated Feb 14th, 2023 - about 3 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 1013942358 NPPES
Texas MEDICAID 187111301
Texas MEDICAID 117107000

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