DEREK PRABHARASUTH


Address: 11760 Sw 40th St Ste 403, Miami, FL 33175-3595
Phone: 3052262020

DEREK PRABHARASUTH (NPI# 1164846986) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1164846986
Entity Type Individual
Full Name DEREK PRABHARASUTH
Credential MD
Practice Address 11760 Sw 40th St Ste 403
Miami
FL 33175-3595
Practice Telephone 3052262020
Practice Fax Number 3052262018
Mailing Telephone 3052262020
Mailing Fax Number 3052262018
Enumeration Date 2014-02-13
Last Update Date 2020-08-25
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208800000X Urology ME122730 FL Allopathic & Osteopathic Physicians
N 208800000X Urology 74307 GA Allopathic & Osteopathic Physicians
N 208800000X Urology 60 255424 NY Allopathic & Osteopathic Physicians

Office Location

Street Address 11760 SW 40TH ST STE 403
City MIAMI
State FL
Zip Code 33175-3595

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1548885965 Kevin Bernardo Gonzalez Behavior Technician 11895 Sw 37 St, Miami, FL 33175 2020-06-11
1619509106 Gladysbel Lorenzo Nurse Practitioner 11740 Sw 42st, Miami, FL 33175 2020-02-12
1154885200 Vanessa Arzola Dmd Pa and Associates Clinic/Center 13419 Sw 56th Street, Miami, Miami, FL 33175 2019-01-23
1588145932 Mailen Gonzalez Nurse Practitioner 12294 Sw 29 Ter, Miami, FL 33175 2018-08-23
1639655350 Carolina Marie Trueba Behavior Technician 12825 Sw 49th Terr, Miami, FL 33175 2018-07-16
1033611504 Joan Coro Behavior Technician 12905 Sw 42nd St Suite 219, Miami, FL 33175 2018-03-01
1417456864 Ignacio Alzugaray Nurse Practitioner 12317 Sw 20th Ter, Miami, FL 33175 2018-02-12
1215436993 Desiree Rengifo-glasgow Nurse Practitioner 11865 Sw 26th St Ste J2, Miami, FL 33175 2018-02-07
1639678691 Behavior Professional Consultants Corp. Community/Behavioral Health 2460 Sw 137th Ave 242, Miami, FL 33175 2018-02-06
1992204291 Humberto Lorenzo Paez Nurse Practitioner 4205 Sw 136th Place, Miami, FL 33175 2018-02-02
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Taxonomy Information

Taxonomy Code 208800000X
Grouping Allopathic & Osteopathic Physicians
Classification Urology

Taxonomy Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1770952616 Genesiscare Usa of Florida LLC Urology 3361 South Miami Avenue, Suite 306, Miami, FL 33133-4232 2015-09-22
1790152908 Bruno Nahar Aragao De Oliveira Urology 1120 Nw 14th St Ste 1564b, Miami, FL 33136-2107 2015-08-24
1912382417 Vivek Venkatramani Urology 1250 S Miami Ave Apt 1311, Miami, FL 33130-4107 2015-07-25
1093127631 Jose Luis Vilaro Valderrabano Urology 3641 S Miami Ave Ste 170, Miami, FL 33133-4219 2014-06-02
1780023135 Sanjaya Kumar Swain Urology 1150 Pac Clinic University of Miami Hospital, Room No 309, Miami, FL 33136 2013-06-19
1467716183 Emad Ibrahim Urology 1095 Nw 14th Ter # R48, Rm 1-10, Miami, FL 33136-1060 2012-06-27
1215295639 Ricardo Ismael Palmerola Urology 4220 Sw 60th Ct, Miami, FL 33155-5224 2012-04-24
1437425246 Katherine A. Amin Urology Professional Arts Center, 1150 Nw 14th St, Suite 309, Miami, FL 33136 2012-03-26
1073803490 Nicholas Joseph Hauser Urology 1150 Nw 14th St Ste 309, Miami, FL 33136 2011-04-19
1720239510 Melvin A. Mackler, M.d. Pa Urology 8669 N.w 36 Street, Suite 325, Miami, FL 33166 2008-10-10
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Competitor

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City MIAMI
Zip Code 33175

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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