Chandupatla Prabhakar, MD

NPI #1720197346 in Jacksonville, Illinois

Provider Information

NPI Number: 1720197346
Entity Type: Individual
Name: Chandupatla Prabhakar, MD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Internal Medicine
Credential: MD
Enumeration Date: Aug 29, 2006
Last Updated: May 3, 2012

Practice Location

Address: 559 N WESTGATE
City: Jacksonville
State: Illinois
ZIP Code: 62650
Phone: (217) 243-5474

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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