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Ajay Prabhu
NPI 1962242032 · on the registry since 2024
Practice
- Address
- 11937 Hwy 271
Tyler, TX 75708 - Phone
- (903) 877-7253
- Organisation at this address
- University Of Texas Health Center At Tyler
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 7
Registry record
- Primary taxonomy
- 390200000X
390200000X
- Also registered as
- 390200000X
- Licence states on file
- TX
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-06-05
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 Texas