| NPI | 1740588391 |
|---|---|
| Former Legal Business Name | VENU PRABAKER, MD INC |
| Entity Type | Organization |
| Authorized Contact | RAHUL NAYAR President 760-242-7777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2011-03-07 |
| Last Update Date | 2024-10-30 |