DR. SUDHIR L PRABHU (NPI# 1497749071) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497749071 |
| Entity Type | Individual |
| Full Name | DR. SUDHIR L PRABHU |
| Credential | M.D. |
| Practice Address |
4123 University Blvd S B Jacksonville FL 32216-4371 |
| Practice Telephone | 9046369100 |
| Practice Fax Number | 9046369102 |
| Mailing Telephone | 9046369100 |
| Mailing Fax Number | 9046369102 |
| Enumeration Date | 2005-09-09 |
| Last Update Date | 2012-08-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207K00000X | Allergy & Immunology | ME 37408 | FL | Allopathic & Osteopathic Physicians |
| Street Address |
4123 UNIVERSITY BLVD S B |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32216-4371 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467799577 | Shri Balaji Medical Services | Internal Medicine | 4123 University Blvd S, Suite C, Jacksonville, FL 32216-4371 | 2013-01-09 |
| 1639470370 | Christine E Hanna | Physician Assistant | 4123 University Blvd S, Ste B, Jacksonville, FL 32216 | 2010-11-11 |
| 1508174533 | Kristy L Bell | Behavioral Analyst | 4123 University Blvd S, Suite C, Jacksonville, FL 32216-4371 | 2010-09-24 |
| 1518272392 | Rheumotolgy Associates | Internal Medicine | 4123 University Blvd S, Ste D, Jacksonville, FL 32216-4371 | 2010-08-17 |
| 1336378785 | Alysia S Gilliam | Behavioral Analyst | 4123 University Blvd S, Suite C, Jacksonville, FL 32216-4371 | 2009-07-07 |
| 1376723205 | Chitra V Rajpal | Internal Medicine | 4123 University Blvd S, Ste C, Jacksonville, FL 32216-4371 | 2007-11-08 |
| 1013108158 | Hong Tek Md Pa | Internal Medicine | 4123 University Blvd S, Jacksonville, FL 32216-4371 | 2007-08-05 |
| 1306990387 | Nooshazar Khalvati - Khosravi | Specialist | 4123 University Blvd S, Suite E., Jacksonville, FL 32216-4371 | 2007-01-23 |
| 1447312947 | Family Allergy & Asthma Consultants | Specialist | 4123 University Blvd S, Suite B, Jacksonville, FL 32216-4371 | 2006-12-14 |
| 1952470452 | Shahid Zeb | Internal Medicine | 4123 University Blvd S, Ste D, Jacksonville, FL 32216-4371 | 2006-11-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013524925 | Renee Cherie Titus | Behavior Technician | Growing Together Center 6789 Southpoint Parkway, Building 100, Jacksonville, FL 32216 | 2020-09-24 |
| 1811546575 | First Coast Orthopedic Center, LLC | Clinic/Center | 4035 Southpoint Boulevard, Jacksonville, FL 32216 | 2019-09-05 |
| 1922578558 | Fatima Hussain Crofton | Optometrist | 7051 Southpoint Parkway S 300, Jacksonville, FL 32216 | 2018-11-27 |
| 1154802833 | John-paul Pham | Internal Medicine | 4141 Southpoint Drive East, Suite D, Jacksonville, FL 32216 | 2018-08-22 |
| 1790279479 | Joseph Richard Kennedy | Physician Assistant | 6650 Corporate Center Pkwy Apt 1604, Jacksonville, FL 32216 | 2018-06-18 |
| 1801304357 | Kelli M. Tyson | Nurse Practitioner | 3550 University Blvd. S., Ste 302, Jacksonville, FL 32216 | 2018-01-18 |
| 1376054809 | Angela M Whittinghill | Counselor | 8833 Perimeter Park Blvd #702, Jacksonville, FL 32216 | 2017-10-24 |
| 1629508072 | Zoryana Yufan | Dentist | 8750 Perimeter Park Blvd Ste 101, Jacksonville, FL 32216 | 2017-06-19 |
| 1700318896 | Christina Kaczmarek | Behavior Technician | 6816 Southpoint Pkwy Ste 500, Jacksonville, FL 32216 | 2017-03-29 |
| 1932640422 | Loudine Racius | Nurse Practitioner | 8539 Gate Parkway W, Unit 1422, Jacksonville, FL 32216 | 2017-03-16 |
| Find all providers in zip 32216 | ||||
| Taxonomy Code | 207K00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Allergy & Immunology |
| An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system. |
| Notes: Source: American Board of Medical Specialties, 2007, www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Allergy and Immunology, 2007. http://www.abai.org/ No subspecialty certificates in allergy and immunology are offered by the American Board of Allergy and Immunology (ABAI). The ABAI, however, does offer formal special pathways for physicians seeking dual certification in allergy/immunology and pediatric pulmonology; allergy/immunology and pediatric rheumatology; and allergy/immunology and adult rheumatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356367650 | Tracy A Sinha-khona | Allergy & Immunology | 4131 University Blvd S Ste 4a, Jacksonville, FL 32216-4322 | 2006-07-14 |
| 1578517009 | Sanjay Swami | Allergy & Immunology | 9191 R G Skinner Parkway, Suite 402, Jacksonville, FL 32256-9179 | 2006-05-20 |
| 1083668511 | First Coast Allergy and Asthma Pa | Allergy & Immunology | 9191 R.g. Skinner Parkway, Suite 402, Jacksonville, FL 32256-9179 | 2006-05-20 |
| 1255394896 | Allen Okie | Allergy & Immunology | 2345 Park St, Jacksonville, FL 32204-4317 | 2006-04-06 |
| 1306830989 | Paul F Wubbena Jr | Allergy & Immunology | 11267 Harbour Woods Rd S, Jacksonville, FL 32225-1504 | 2005-09-09 |
| 1902344427 | Raquel S Watkins Md Pllc | Allergy & Immunology | 13241 Bartram Park Blvd, Suite 2601, Jacksonville, FL 32258-5212 | 2017-02-03 |
| 1346555307 | Allen Okie Md Pa | Allergy & Immunology | 2345 Park St, Jacksonville, FL 32204-4317 | 2010-08-15 |
| 1982921169 | Alexei Gonzalez Estrada | Allergy & Immunology | 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 | 2010-04-27 |
| 1124283544 | Chitra Kuthiala Md Pa | Allergy & Immunology | 9765 San Jose Blvd, Suite 108, Jacksonville, FL 32257-4402 | 2008-07-24 |
| 1205036084 | Raquel S Watkins | Allergy & Immunology | 13241 Bartram Park Blvd Unit 2601, Jacksonville, FL 32258-5219 | 2007-07-20 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32216 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.