Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MALLAPPA NANJAPPA PRABHU, M.D
ActiveMALLAPPA NANJAPPA PRABHU, M.D is a Adolescent Medicine healthcare provider located in GREYSTONE PARK, New Jersey. NPI 1265508238 is currently active in the NPPES registry. Verify at CMS.
Adolescent Medicine · GREYSTONE PARK, NJ
Registration Details
- NPI Number
- 1265508238
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 28, 2006 (19.727178161169 yrs)
- Last Updated
- Jul 8, 2007
- License
-
026220 (NJ)
Practice Information
- Address
-
1 CENTRAL AVENUEGREYSTONE PARK PSYCHIATRIC HOSPITALGREYSTONE PARK, NJ, 07950Browse NJ providers · Browse ZIP 07950
- Phone
- 9735381800
- Fax
- 9739939081
- Primary Specialty
-
Adolescent Medicine
207QA0505X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.