Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XP3100X | Pediatric Orthopaedic Surgeon | C1-0007364 | DE |
NPI | 1285851253 |
---|---|
Provider Name | Mahaveer P Prabhakar |
First Address | Cape May Court House, NJ 08210-1428 |
Second Address | Newark, DE 19702-1654 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/04/2007 |
Last Update Date | 08/07/2007 |