Tukivakala, Prabhakara Reddy
Tukivakala, Prabhakara Reddy is an individual health care provider with primary practice located at 810 Newman Dr # A , Helena AR 72342-8950. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Tukivakala, Prabhakara Reddy can be contacted via phone (870) 338-7441.Contact Information
Primary practice address
810 Newman Dr # A
Helena AR 72342-8950
Phone: (870) 338-7441
Fax: (870) 338-7945
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | R4048 | Arkansas |
Profile Details
| NPI number | 1659474161 |
|---|---|
| LBN Legal business name | Tukivakala, Prabhakara Reddy |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 7th, 2006 |
| Last updated | Dec 4th, 2014 - about 12 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 | 1659474161 | NPPES |
| Arkansas | MEDICAID | 117462001 |
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