SearchIllinois207RP1001X

Manjeshwar Prabhu, M.D

NPI 1770683450 · on the registry since 2006

Practice

Address
1730 E Lake Shore Dr Ste 301
Decatur, IL 62521
Phone
(217) 329-1000
Fax
(217) 329-1055
Clinicians at this address
13

Registry record

Primary taxonomy
207RP1001X
207RP1001X
Also registered as
207R00000X
207RS0012X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2022-01-03

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois