Individual provider · Type 1 NPI
Pranav Raghunath Prabhu, PA
Medical Physician Assistant · Rochester, NY
NPI number
1972850436
Active
Practice location
1555 Long Pond Rd, Department Of Medicine
Rochester, NY 14626-4122
Fax (585) 723-7871
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant | 363AM0700X | 15786 (NY) |
| Medical Physician Assistant Primary | 363AM0700X | 015786 (NY) |
Medical Physician Assistant: Definition to come...
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About NPI 1972850436
Pranav Raghunath Prabhu, PA's National Provider Identifier is 1972850436, issued on Aug 14, 2012. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Rochester, NY. The record was last updated on Jun 30, 2023.