DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. RYAN SANFORD PRUDOFF, DO

Active Sole Proprietor

DR. RYAN SANFORD PRUDOFF, DO is a Emergency Medicine healthcare provider located in GEORGETOWN, Texas. NPI 1740483122 is currently active in the NPPES registry. Verify at CMS.

Emergency Medicine · GEORGETOWN, TX

Registration Details

NPI Number
1740483122
Provider Type
Individual
Gender
Male
NPI Issued
Jun 6, 2007 (19.192719614368 yrs)
Last Updated
Nov 26, 2018
Licenses
R5027 (TX)
34.008507 (OH)
Sole Proprietor
Yes

Practice Information

Address
1210 W UNIVERSITY AVE
GEORGETOWN, TX, 786285333
Browse TX providers · Browse ZIP 78628
Phone
2165132236
Primary Specialty
Emergency Medicine
207P00000X
Additional Specialty
Emergency Medicine

Other Emergency Medicine Providers in GEORGETOWN, TX

Name Credential NPI
DR. MICHAEL MILLER M.D. 1093765935
PURVI H SHAH M.D. 1528013901
BOBACK B SOBHANI M.D. 1619924784
JAMES M SHEPHERD M.D. 1790725828
ALAN L RABIDEAU M.D. 1265472419
DR. JOHN J VALENTINI JR. MD 1265474183
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.