DR. SUDHIR L PRABHU


Address: 4123 University Blvd S, B, Jacksonville, FL 32216-4371
Phone: 9046369100

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207K00000X Allergy & Immunology ME 37408 FL Allopathic & Osteopathic Physicians

Office Location

Street Address 4123 UNIVERSITY BLVD S
B
City JACKSONVILLE
State FL
Zip Code 32216-4371

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 207K00000X
Grouping Allopathic & Osteopathic Physicians
Classification Allergy & Immunology

Taxonomy Definition

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.

Providers in the same taxonomy and city

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
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Competitor

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City JACKSONVILLE
Zip Code 32216

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Dataset Information

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.

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