Kusum R Prabhakar MD PC

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

77234 Issued in NM

Legal business name

KUSUM R PRABHAKAR MD PC

Practice address

1336 Wyoming Blvd NE
Suite F
Albuquerque, NM 87112-5066

Phone

(505) 275-2442

Fax

(505) 275-2443

NPI assigned

Aug 17, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Kusum R Prabhakar, M.DNPI 1225062292

Title

President

Phone

(505) 275-2442

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kusum R Prabhakar, MD

  • Anesthesiology Physician
  • Albuquerque, NM
  • NPI 1225062292
  Authorized official Same address or phone

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

{
    "created_epoch": "1218931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219104000000",
    "number": "1700032182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 65605",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871935605",
            "telephone_number": "505-275-2442",
            "fax_number": "505-275-2443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1336 WYOMING BLVD NE",
            "address_2": "SUITE F",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871125066",
            "telephone_number": "505-275-2442",
            "fax_number": "505-275-2443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KUSUM R PRABHAKAR MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-17",
        "last_updated": "2008-08-19",
        "status": "A",
        "authorized_official_last_name": "PRABHAKAR",
        "authorized_official_first_name": "KUSUM",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "505-275-2442",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "NM",
            "license": "77234",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonathan Kurtyka, PH.D.
• Leslie P Kurtz, MD
• Ansu Mary Kuruvilla, APRN, BC
• Blake Kusmin
• Katie Kussard
• Edward Kusza
• Stephen Kuti, CSW
• John Kuttesch
• Luz W Kwan, MD
• William Kwan

• Anesthesiology Physician in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Anesthesiology Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2008; 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.