DR. VIJAY N PRABHU (NPI# 1982616538) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982616538 |
| Entity Type | Individual |
| Full Name | DR. VIJAY N PRABHU |
| Credential | M.D. |
| Practice Address |
105 S Bryant Ave Suite 200 Edmond OK 73034-6399 |
| Mailing Address |
4401 W Memorial Rd Suite 140 Oklahoma City OK 73134-1785 |
| Practice Telephone | 4053404937 |
| Practice Fax Number | 4053413078 |
| Mailing Telephone | 4057523162 |
| Mailing Fax Number | 4059365211 |
| Enumeration Date | 2006-08-12 |
| Last Update Date | 2014-05-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
18818 | OK | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 10097490A | 05 |
| Street Address |
105 S BRYANT AVE SUITE 200 |
| City | EDMOND |
| State | OK |
| Zip Code | 73034-6399 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861494015 | Charles M Gelnar | Surgery | 105 S Bryant Ave, #104, Edmond, OK 73034-6330 | 2005-06-01 |
| 1447754007 | Rajaram Md Pllc | Internal Medicine | 105 S Bryant Ave, Edmond, OK 73034 | 2018-03-20 |
| 1649696097 | National Centers for Pain Management and Research, LLC | Physical Medicine & Rehabilitation | 105 S Bryant Ave, Suite 301, Edmond, OK 73034-6399 | 2014-03-10 |
| 1871813170 | Stanley A Horst Md PC | Internal Medicine | 105 S Bryant Ave, Suite 100, Edmond, OK 73034-6399 | 2010-06-09 |
| 1033434626 | Michael D. Swafford, Psy.d., P.C. | Counselor | 105 S Bryant Ave, Suite 302, Edmond, OK 73034-6399 | 2010-04-07 |
| 1528392727 | Cameron Michelle Halsell | Obstetrics & Gynecology | 105 S Bryant Ave, #304, Edmond, OK 73034-6399 | 2009-09-22 |
| 1013240993 | Mark R Lynn Md Inc | Family Medicine | 105 S Bryant Ave, Suite 204a, Edmond, OK 73034-6399 | 2009-09-10 |
| 1467690347 | Freta Deanna Hale | Specialist/Technologist, Other | 105 S Bryant Ave, Suite 410, Edmond, OK 73034-6399 | 2009-01-30 |
| 1396954582 | Mitchell Horowitz Md PC | Internal Medicine | 105 S Bryant Ave, Suite 309, Edmond, OK 73034-6399 | 2007-05-22 |
| 1376619866 | John Christopher Martin | Family Medicine | 105 S Bryant Ave, Suite 300, Edmond, OK 73034-6399 | 2006-11-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306447172 | Saints Medical Group, LLC | Family Medicine | 2749 Progressive Dr, Suite B, Edmond, OK 73034 | 2020-11-06 |
| 1194339861 | Susan Haesook Kim | Pharmacist | 1400 2nd St, Edmod, Edmond, OK 73034 | 2020-09-01 |
| 1821616038 | Aaron Michael Gowens | Specialist/Technologist | 015 Wantland Hall 100 University Dr., Edmond, OK 73034 | 2020-07-14 |
| 1043834849 | Paddington Place Lcc | Intermediate Care Facility, Mental Illness | 3225 French Park Drive, Suite 6, Edmond, OK 73034 | 2020-06-08 |
| 1083254932 | Purpose Healthcare Inc | Psychologist | 301 South Blvd, Suite 117, Edmond, OK 73034 | 2020-01-08 |
| 1740773662 | Healthcare Express, LLP | Family Medicine | 2300 E 2nd St, Edmond, OK 73034 | 2018-06-14 |
| 1427555713 | Sara Nicole Smith | Specialist/Technologist | 100 N University Drive, Attn: Athletic Training Room, Edmond, OK 73034 | 2018-04-12 |
| 1619475084 | Carissa Leigh Brackelsberg | Chiropractor | 3709 E 2nd St, Edmond, OK 73034 | 2018-01-31 |
| 1760996177 | Laurel Michelle Glendening | Physical Therapist | 3531 River Wood Lane, Edmond, OK 73034 | 2017-11-21 |
| 1134643380 | Keith S Quinn | Dentist | 3008 Peaceful Ln, Edmond, OK 73034 | 2017-07-31 |
| Find all providers in zip 73034 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447443171 | James L. Stammer, Md | Internal Medicine | 3401 Ridgewood Dr, Edmond, OK 73013-8072 | 2007-08-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760720668 | Stillwater Histology LLC | Internal Medicine | 1301 W. 6th St, Suite 106, Stillwater, OK 74074 | 2013-01-28 |
| 1568706554 | Ahmad S Jazzar | Internal Medicine | 5617 Normandy Ter, Oklahoma City, OK 73142-1823 | 2012-11-15 |
| 1730444886 | Molly Beth Lindquist Disbrow | Internal Medicine | 920 Stanton L Young Blvd # Wp1345, Oklahoma City, OK 73104-5036 | 2012-07-05 |
| 1306111448 | Southwest Gastroenterology Associates Pllc | Internal Medicine | 525 Sw 80th Street, Suite 200, Oklahoma City, OK 73139 | 2012-03-21 |
| 1154611457 | Aatish Mukesh Patel | Internal Medicine | 4200 E Skelly Dr Ste 700, Tulsa, OK 74135-3256 | 2011-04-08 |
| 1447478722 | Richard W. Seifert, M.d., Inc | Internal Medicine | 1145 S. Utica, Suite 909, Tulsa, OK 74104 | 2007-04-23 |
| 1528199866 | Verapan Vongthavaravat | Internal Medicine | 4811 Gaillardia Pkwy Ste 200, Oklahoma City, OK 73142-1874 | 2007-03-08 |
| 1992852875 | Shih-kuang Hong | Internal Medicine | 3110 Sw 89th St Ste 104, Oklahoma City, OK 73159-7920 | 2007-01-04 |
| 1407920036 | Robert Edward Ringrose | Internal Medicine | 324 E Oklahoma Ave, Guthrie, OK 73044-3315 | 2006-11-17 |
| 1083709430 | Imad A Zantout | Internal Medicine | 4200 W.memorial Road, Suite 305, Oklahoma City, OK 73120 | 2006-10-03 |
| Find all providers with the same taxonomy | ||||
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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.