Individual provider · Type 1 NPI
Mallappa Nanjappa Prabhu, MD
Adult Medicine Physician · Greystone Park, NJ
NPI number
1265508238
Active
Practice location
1 Central Avenue, Greystone Park Psychiatric Hospital
Greystone Park, NJ 07950
Fax (973) 993-9081
Mailing address
2 Hilary Ter
Succasunna, NJ 07876-1055
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Medicine Physician Primary | 207QA0505X | 026220 (NJ) |
Adult Medicine Physician: The NUCC recommends this code not be used. Choose a more appropriate code.
About NPI 1265508238
Mallappa Nanjappa Prabhu, MD's National Provider Identifier is 1265508238, issued on Nov 28, 2006. The primary taxonomy on file is Adult Medicine Physician (207QA0505X), and the practice location is in Greystone Park, NJ. The record was last updated on Jul 8, 2007.