PRABHU EMMADY


Address: 315 Medical Park Dr, Ste 202, Concord, NC 28025-1902
Phone: 7044031911

PRABHU EMMADY (NPI# 1801056247) 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) 1801056247
Entity Type Individual
Full Name PRABHU EMMADY
Credential MD
Practice Address 315 Medical Park Dr
Ste 202
Concord
NC 28025-1902
Mailing Address Po Box 19305
Charlotte
NC 28219-9305
Practice Telephone 7044031911
Enumeration Date 2008-06-10
Last Update Date 2020-09-25
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2084N0600X Psychiatry & Neurology
Specialization: Clinical Neurophysiology
2016-00806 NC Allopathic & Osteopathic Physicians

Provider Secondary Practice Location

Address Telephone Number Fax Number
1100 Blythe Blvd, Charlotte, NC 282035814 7043559330
202 E Grover St, Ste 1, Shelby, NC 281503977 9804872360
441 Mcalister Rd, Ste 2200, Lincolnton, NC 280924126 8002301721
9625 Northcross Center Ct, Ste 102, Huntersville, NC 280787348 8002301721

Office Location

Street Address 315 MEDICAL PARK DR
STE 202
City CONCORD
State NC
Zip Code 28025-1902

Providers in the same location

NPI Name Taxonomy Address Enumeration
1215914080 Francois Picot Psychiatry & Neurology 315 Medical Park Dr, Ste 202, Concord, NC 28025-1902 2005-12-22
1942851738 Carter Moran Nurse Practitioner 315 Medical Park Dr, Ste 202, Concord, NC 28025-1902 2019-09-24
1609428572 Alyssa Lee Pharmacist 315 Medical Park Dr, Concord, NC 28025-1902 2019-07-11
1326609538 Caroline Gordon Pharmacist 315 Medical Park Dr, Concord, NC 28025-1902 2019-06-27
1043705031 Amanda Gordon Nurse Practitioner 315 Medical Park Dr, Ste 202, Concord, NC 28025-1902 2018-06-22
1649781923 Rachel Entwistle Physician Assistant 315 Medical Park Dr, Ste 202, Concord, NC 28025-1902 2017-10-13
1275906778 Amanda Frye Nurse Practitioner 315 Medical Park Dr, Ste 202, Concord, NC 28025-1902 2015-11-05
1649664418 Kayla Huneycutt Morgan Pharmacist 315 Medical Park Dr, Suite 204, Concord, NC 28025-1902 2015-03-19
1659777555 Amanda Michelle Woods Pharmacist 315 Medical Park Dr, Suite 204, Concord, NC 28025-1902 2014-11-05
1083026710 Joshua Stone Psychiatry & Neurology 315 Medical Park Dr, Ste 202, Concord, NC 28025-1902 2014-05-29
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1053910729 Renewed Mindset Therapeutic Services, Pllc Social Worker 349 Copperfield Blvd Suite L #334, Concord, NC 28025 2020-10-22
1194284380 Carolinas Physicians Network Inc Internal Medicine 610 Alfred Brown Jr. Court, Concord, NC 28025 2019-03-18
1164913596 Damarius Raymond Faggart Counselor 503 Amhurst Drive, Concord, NC 28025 2018-05-22
1437677085 Kathryn Emily Kanauer Counselor 280 Executive Park Dr Ne, Concord, NC 28025 2017-09-05
1649794439 Foster Health & Homecare, LLC Home Health 363 Church Street North, Suite 260-i, Concord, NC 28025 2017-08-02
1326569336 Jessie Leigh Tilley-compton Social Worker 371 Amhurst St Sw, Concord, NC 28025 2017-06-29
1609305663 Sarah Katherine Thompson Licensed Practical Nurse 248 Executive Park Dr, Concord, NC 28025 2017-06-05
1023463098 Kiera Brown Social Worker 219 Lephillip Court, Concord, NC 28025 2016-04-27
1992169445 Brittiny N. Ingram Vanterpool Counselor 250 Branchview Dr Sw, Concord, NC 28025 2016-04-11
1215399852 The Charlotte-mecklenburg Hospital Authority Clinic/Center 840 Warren C. Coleman Blvd, Concord, NC 28025 2016-03-23
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Taxonomy Information

Taxonomy Code 2084N0600X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Clinical Neurophysiology

Taxonomy Definition

Clinical Neurophysiology is a subspecialty with psychiatric or neurologic expertise in the diagnosis and management of central, peripheral, and autonomic nervous system disorders using combined clinical evaluation and electrophysiologic testing such as electroencephalography (EEG), electromyography (EMG), and nerve conduction studies (NCS).
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1275723413 George A. Gonzalez, M.d., P.C. Psychiatry & Neurology 131 Old Road To 9 Acre Cor, Suite 660, Concord, MA 01742-4181 2007-07-25

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1245556745 Jennifer L Zurosky Psychiatry & Neurology 416 Tyson St, Charlotte, NC 28209-2321 2010-04-09
1538250170 Betty G. Stewart Psychiatry & Neurology 527 N Justice St, Hendersonville, NC 28739-4217 2006-09-27
1437494739 Laura K Jozewicz Md Pa Psychiatry & Neurology 701 Exposition Pl, Suite 106, Raleigh, NC 27615-3300 2012-11-28
1205148590 Comprehensive Neurodiagnostic Services,p.a. Psychiatry & Neurology 1830 Owen Dr, Suite 104, Fayetteville, NC 28304-1611 2010-07-02
1144541541 Matthew William Luedke Psychiatry & Neurology 40 Duke Medicine Cir, Durham, NC 27710-4000 2010-06-20
1124253604 Potential Technologies Neurophysiology Pllc Psychiatry & Neurology 23 Turtle Creek Dr, Asheville, NC 28803-3152 2009-05-27
1477708188 Potential Technologies Psychiatry & Neurology 23 Turtle Creek Dr, Asheville, NC 28803-3152 2008-11-21
1790809531 Cornerstone Health Care, LLC Psychiatry & Neurology 1814 Westchester Dr, Suite 401, High Point, NC 27262-7299 2007-03-19
1508912544 Thad J Barringer Jr Md Pa Psychiatry & Neurology 3900 Browning Pl, Suite 201, Raleigh, NC 27609-6508 2007-01-25
1184600264 James Bayard Caress Psychiatry & Neurology Medical Center Blvd, Winston Salem, NC 27157-0001 2005-12-20
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Competitor

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City CONCORD
Zip Code 28025

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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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