SANDEEP GAJANAN PRABHU (NPI# 1689844797) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689844797 |
| Entity Type | Individual |
| Full Name | SANDEEP GAJANAN PRABHU |
| Credential | MD |
| Practice Address |
1200 Everett Dr 1np606 Oklahoma City OK 73104-5047 |
| Mailing Address |
940 Stanton L Young Blvd Bmsb 357 Oklahoma City OK 73104-5020 |
| Practice Telephone | 4052715125 |
| Enumeration Date | 2008-03-04 |
| Last Update Date | 2008-03-04 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085P0229X |
Radiology Specialization: Pediatric Radiology |
25469 | OK | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437619665 | Sandeep Prabhu | Student in an Organized Health Care Education/Training Program | 1959 Ne Pacific St Rm 5271959n, Seattle, WA 98195-6421 | 2019-03-22 |
| 1972978302 | Sandeep Prabhu | Physical Therapist | 110 E 107th St, New York, NY 10029-3904 | 2015-12-10 |
| Street Address |
1200 EVERETT DR 1NP606 |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73104-5047 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043219603 | Kimberly Dawn Ernst | Pediatrics | 1200 Everett Dr, 7th Floor North Pavilion, Div of Neonatology, Oklahoma City, OK 73104-5047 | 2005-07-17 |
| 1003443094 | Lauren Mcmullan | Pharmacist | 1200 Everett Dr, Oklahoma City, OK 73104-5047 | 2020-03-27 |
| 1285299016 | Hamza Iqbal | Radiology | 1200 Everett Dr, Oklahoma City, OK 73104-5047 | 2019-05-07 |
| 1639631336 | Turner Walsh Daines | Radiology | 1200 Everett Dr, Oklahoma City, OK 73104-5047 | 2019-04-02 |
| 1285195990 | Austin James Mccullough | Radiology | 1200 Everett Dr, Oklahoma City, OK 73104-5047 | 2019-03-26 |
| 1720546930 | Michelle Anne Seright | Nurse Practitioner | 1200 Everett Dr, Oklahoma City, OK 73104-5047 | 2019-03-06 |
| 1689169211 | Ramit Relan | Student in an Organized Health Care Education/Training Program | 1200 Everett Dr, Oklahoma City, OK 73104-5047 | 2018-06-26 |
| 1366930448 | Rosemarie Zanabria | Radiology | 1200 Everett Dr, Oklahoma City, OK 73104-5047 | 2018-04-25 |
| 1891282885 | Tony Kim | Radiology | 1200 Everett Dr, Oklahoma City, OK 73104 | 2018-04-16 |
| 1770080251 | Jalal Itani | Radiology | 1200 Everett Dr, Oklahoma City, OK 73104 | 2018-04-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356979645 | Kayla Campbell | Dietitian, Registered | Stephenson Cancer Center, 800 Ne 10th Street, Oklahoma City, OK 73104 | 2020-03-31 |
| 1447715453 | Roman Michael Garcia | Dentist | Ou Children's Physicians - Dental Clinic, 1200 Children's Ave, 8f, Oklahoma City, OK 73104 | 2019-02-04 |
| 1265902340 | Jenna Lyn Celii | Registered Nurse | 920 Sl Young Blvd Ste 1140, Oklahoma City, OK 73104 | 2018-11-30 |
| 1407337462 | Opus Medical, LLC | Psychiatry & Neurology | 4 Ne 10th St Suite 467, Oklahoma City, OK 73104 | 2018-08-27 |
| 1316433295 | Syed Muhammad Shakaib Quadri | Pathology | 940 Stanton L. Young Blvd., Bmsb 451, Oklahoma City, OK 73104 | 2018-07-03 |
| 1447746417 | Nimrah Bader | Internal Medicine | 800 Stanton L. Young Blvd., Aat 6300, Oklahoma City, OK 73104 | 2018-07-02 |
| 1417440793 | Helen Judith Turkson Apetor | Nurse Practitioner | 700 Ne 13th, Oklahoma City, OK 73104 | 2018-06-11 |
| 1003307935 | Mary Katlin Nixon | Obstetrics & Gynecology | 800 Stanton L Young Blvd Ste 2319, Oklahoma City, OK 73104 | 2018-05-26 |
| 1558851220 | Bryce Yohannan | Student in an Organized Health Care Education/Training Program | 800 Stanton L Young Blvd, Aat 6300, Oklahoma City, OK 73104 | 2018-05-17 |
| 1346746690 | Kacy Anne Richburg | Orthopaedic Surgery | 711 Stanton L Young Blvd Ste 111, Oklahoma City, OK 73104 | 2018-04-04 |
| Find all providers in zip 73104 | ||||
| Taxonomy Code | 2085P0229X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Pediatric Radiology |
| A radiologist who is proficient in all forms of diagnostic imaging as it pertains to the treatment of diseases in the newborn, infant, child and adolescent. This specialist has knowledge of both imaging and interventional procedures related to the care and management of diseases of children. A pediatric radiologist must be highly knowledgeable of all organ systems as they relate to growth and development, congenital malformations, diseases peculiar to infants and children and diseases that begin in childhood but cause substantial residual impairment in adulthood. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871749721 | Shadi Saleem | Radiology | 940 Ne 13th St # 4g4250, Oklahoma City, OK 73104-5008 | 2008-08-12 |
| 1336176973 | Charles Anthony Lawrence II | Radiology | 940 Ne 13th St, Suite 4250, Oklahoma City, OK 73104-5008 | 2006-06-27 |
| 1205804549 | Faridali G Ramji | Radiology | 940 Ne 13th St, 4g4250, Oklahoma City, OK 73104-5008 | 2006-03-11 |
| City | OKLAHOMA CITY |
| Zip Code | 73104 |
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| 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.