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

DR. MANJESHWAR B. PRABHU, M.D.

Active

DR. MANJESHWAR B. PRABHU, M.D. is a Pulmonary Disease healthcare provider located in DECATUR, Illinois. NPI 1770683450 is currently active in the NPPES registry. Verify at CMS.

Pulmonary Disease · DECATUR, IL

Registration Details

NPI Number: 1770683450
Provider Type: Individual
Gender: Male
NPI Issued: Sep 23, 2006 (19.86559831061 yrs)
Last Updated: Jan 3, 2022
Licenses: 036083999 (IL)

036083999 (IL)

036-083999 (IL)

Practice Information

Address: 1730 E LAKE SHORE DR STE 301

DECATUR, IL, 625213809
Browse IL providers · Browse ZIP 62521
Phone: 2173291000
Fax: 2173291055
Primary Specialty: Pulmonary Disease
207RP1001X
Additional Specialty: Sports Medicine (IM)
Additional Specialty: Pulmonary Disease

Other Pulmonary Disease Providers in DECATUR, IL

Name	Credential	NPI
DR. CAROL ANNE COHEN	MD	1295700763
DR. JON STEVEN ARNOLD	MD	1851366967
DR. AJAY VERMA	MD	1285609321
DANXUAN LONG	MD	1205098738
DR. ZAHI NACHEF	M.D.	1336427863

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.