Prabhu RV Shankar, MD, MS
Individual provider Active NPI Internal Medicine Physician · El Macero, CA
NPI 1629928858 · NPPES record last updated Jan 28, 2026
Key facts
- NPI
- 1629928858
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 78760 (AZ)
- Practice address
- 44222 Greenview Dr
El Macero, CA 95618-1015 - Phone
- (408) 458-6119
- NPI assigned
- Jan 28, 2026
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Medicine, Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 78760 | AZ | MD | Internal Medicine Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician |
207R00000X | 78760 | AZ | Yes |
Addresses
Primary practice location
44222 Greenview Dr
El Macero, CA 95618-1015
Mailing address
44222 Greenview Dr
El Macero, CA 95618-1015
Phone (408) 458-6119
Other providers in El Macero, CA
All providers in El Macero, CA · Internal Medicine Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 28, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.