Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CHANDUPATLA PRABHAKAR, MD
Active Sole ProprietorCHANDUPATLA PRABHAKAR, MD is a Internal Medicine healthcare provider located in JACKSONVILLE, Illinois. NPI 1720197346 is currently active in the NPPES registry. Verify at CMS.
Internal Medicine · JACKSONVILLE, IL
Registration Details
- NPI Number
- 1720197346
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 29, 2006 (19.976639404479 yrs)
- Last Updated
- May 3, 2012
- License
-
036056832 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
559 N WESTGATEJACKSONVILLE, IL, 62650Browse IL providers · Browse ZIP 62650
- Phone
- 2172435474
- Fax
- 2172452322
- Primary Specialty
-
Internal Medicine
207R00000X
Other Internal Medicine Providers in JACKSONVILLE, IL
| Name | Credential | NPI |
|---|---|---|
| DR. DAVID D COULTAS | M.D. | 1902804495 |
| DR. TARA JEAN RAMSEY | M.D. | 1013980101 |
| ANTHONY M GRIFFIN | MD | 1770558603 |
| DR. BABU RAO ELADASARI | MD,FACP | 1356393300 |
| DR. THOMAS ANTHONY BAKER | M.D. | 1679744221 |
| TAL POLLAK | M.D. | 1770831158 |
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.