Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SRIVIDYA PRABHU, DMD
ActiveSRIVIDYA PRABHU, DMD is a Periodontology healthcare provider located in COLD SPRING, Kentucky. NPI 1477033371 is currently active in the NPPES registry. Verify at CMS.
Periodontology · COLD SPRING, KY
Registration Details
- NPI Number
- 1477033371
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 20, 2018 (8.0220395752978 yrs)
- Last Updated
- Mar 1, 2023
- License
-
10726 (KY)
Practice Information
- Address
-
201 MARTHA LAYNE COLLINS BLVD STE BCOLD SPRING, KY, 410761750Browse KY providers · Browse ZIP 41076
- Phone
- 8594414805
- Primary Specialty
-
Periodontology
1223P0300X
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.