Organization Active NPI

H.Sudhakar Prabhu,MD,PC

  • Cardiovascular Disease Physician
  • Brooklyn, NY
National Provider Identifier
1508136342
Registry record updated Jan 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
123558 Issued in NY
Legal business name
H.SUDHAKAR PRABHU,MD,PC
Practice address
9920,4TH Ave
Brooklyn, NY 11209-8333
Phone
(718) 833-2620
NPI assigned
Jan 11, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Sudhakar H Prabhu, MD
Title
President
Phone
(718) 833-2620

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X 123558 NY Primary

Addresses

Primary practice location

9920,4TH Ave
Brooklyn, NY 11209-8333

Mailing address

9920 4TH Ave
Brooklyn, NY 11209-8333
Phone (718) 833-2620

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1326240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326240000000",
    "number": "1508136342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9920 4TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112098333",
            "telephone_number": "718-833-2620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9920,4TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112098333",
            "telephone_number": "718-833-2620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "H.SUDHAKAR PRABHU,MD,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-11",
        "last_updated": "2012-01-11",
        "status": "A",
        "authorized_official_last_name": "PRABHU",
        "authorized_official_first_name": "SUDHAKAR",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-833-2620",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "123558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.