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1689844797
SANDEEP GAJANAN PRABHU
OKLAHOMA CITY, OK
NPI
1689844797
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2085P0229X Radiology, Pediatric Radiology
(Licence: OK 25469)
Enumeration Date
2008-03-04
Last Update Date
2008-03-04
Business Address
-- SANDEEP GAJANAN PRABHU MD
1200 EVERETT DR 1NP606
OKLAHOMA CITY, OK 73104-5047
Phone number: 405-271-5125
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Mailing Address
-- SANDEEP GAJANAN PRABHU MD
940 STANTON L YOUNG BLVD BMSB 357
OKLAHOMA CITY, OK 73104-5020
Phone number:
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