Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. VENU PRABAKER, M.D.
Active Sole ProprietorAllergy & Immunology · LA MESA, CA
Registration Details
- NPI Number
- 1467401042
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 9, 2006 (19.954427396866 yrs)
- Last Updated
- Dec 1, 2017
- Licenses
-
A42653 (CA)A042653 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
7339 EL CAJON BLVDSUITE ILA MESA, CA, 919413435Browse CA providers · Browse ZIP 91941
- Phone
- 6196980606
- Fax
- 6196980609
- Primary Specialty
-
Allergy & Immunology
207RA0000X
- Additional Specialty
- Allergy & Immunology
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.