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Pranitha Prabhu, DO
Student in an Organized Health Care Education/Training Program in Newark, New Jersey
NPI 1508443391

Pranitha Prabhu is a Student in an Organized Health Care Education/Training Program based in Newark, NJ. Pranitha Prabhu practices in Newark, NJ and has the professional credentials of DO. The NPI Number for Pranitha Prabhu is 1508443391 and holds a License No. 446053021 (New Jersey).

The current practice location address for Pranitha Prabhu is 201 Lyons Ave, Newark, NJ and can be reached out via phone at 973-926-4882.

Location: 201 Lyons Ave, Newark, NJ, 07112-2027
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1508443391
Provider Name
Pranitha Prabhu
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
201 Lyons Ave, Newark, NJ, 07112-2027
Phone Number
973-926-4882
Fax Number
Provider Enumeration Date
03/26/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
201 Lyons Ave
City
Newark
State
New Jersey
Zip
07112-2027
Phone Number
973-926-4882
Fax Number
person
Provider Business Mailing Address Details
Address
201 Lyons Ave
City
Newark
State
New Jersey
Zip
07112-2027
Phone Number
973-926-4882
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
446053021 (New York)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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