Sanjiv Vinayak Prabhu (NPI# 1073788782, PAC ID# 6204075518) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PATHOLOGY.
| Nation Provider ID (NPI) | 1073788782 |
| PAC ID by PECOS | 6204075518 |
| Professional Enrollment ID | I20160713001004 |
| Full Name | Sanjiv Vinayak Prabhu |
| Organization Legal Name | NORTHWEST UROLOGY LLC |
| Address |
971 Broad St Augusta GA 30901-7225 |
| Phone Number | 7064342600 |
| Gender | M |
| Medical School | UNIVERSITY OF ILLINOIS AT CHICAGO HEALTH SCIENCE CENTER |
| Graduation Year | 2008 |
| Primary Specialty | PATHOLOGY |
| Group Practice PAC ID | 2668783770 |
| Number of Group Practice Members | 13 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 971 Broad St, Augusta, GA 30901-7225 | 7064342600 | NORTHWEST UROLOGY LLC |
| 971 Broad St, Suite 2, Augusta, GA 30901-7225 | 7064342600 | OREGON UROLOGY INSTITUTE PC |
| Organization Legal Name | NORTHWEST UROLOGY LLC |
| Physicians | 15 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David A Staneck | Urology | Northwest Urology LLC | 2435 Ne Cumulus Ave E, Mcminnville, OR 97128-8805 |
| Jeffrey Christopher La Rochelle | Urology | Northwest Urology LLC | 2230 Nw Pettygrove, Suite 210, Portland, OR 97210-2659 |
| Brian S Shaffer | Urology | Northwest Urology LLC | 9135 Sw Barnes Rd, Suite 663, Portland, OR 97225-6683 |
| Sasha Courand Druskin | Urology | Northwest Urology LLC | 2230 Nw Pettygrove, Suite 210, Portland, OR 97210-2659 |
| James F Tycast | Urology | Northwest Urology LLC | 2230 Nw Pettygrove, Suite 210, Portland, OR 97210-2659 |
| James M Bresee | Urology | Northwest Urology LLC | 2230 Nw Pettygrove, Suite 210, Portland, OR 97210-2659 |
| Stanley A Myers | Urology | Northwest Urology LLC | 1000 Se Tech Ctr Dr, Suite 120, Vancouver, WA 98683-5548 |
| Sara E Spettel Aliyar | Urology | Northwest Urology LLC | 9135 Sw Barnes Rd, Suite 663, Portland, OR 97225-6683 |
| Daniel M Janoff | Urology | Northwest Urology LLC | 9135 Sw Barnes Rd, Suite 663, Portland, OR 97225-6683 |
| Michael T Lavelle Jr. | Urology | Northwest Urology LLC | 2230 Nw Pettygrove, Suite 210, Portland, OR 97210-2659 |
| Street Address |
971 BROAD ST |
| City | AUGUSTA |
| State | GA |
| Zip | 30901-7225 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Patricia Anne Caudell | Pathology | Urology Clinics of North Texas, Pllc | 971 Broad St, Suite 3, Augusta, GA 30901-7225 |
| Jianxiong Richard Bao | Pathology | Urology Clinics of North Texas, Pllc | 971 Broad St, Suite 3, Augusta, GA 30901-7225 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Francisco J Hernandez-munoz | Infectious Disease | Umg Infectious Disease LLC | 820 St Sebastian Way, Pob 1 Ste. 7 C, Augusta, GA 30901 |
| Matthew K Howard | Internal Medicine | 818 St Sebastian Way, Suite 311, Augusta, GA 30901 | |
| Richard Hatch | Obstetrics/gynecology | 820 St Sebastian Way, Suite 1b, Augusta, GA 30901 | |
| Richard Edward Kilgore Rodriguez | Infectious Disease | Umg Infectious Disease LLC | 820 St Sebastian Way, Pob 1 Ste. 7 C, Augusta, GA 30901 |
| Ioana Chirca | Infectious Disease | Umg Infectious Disease LLC | 820 St Sebastian Way, Pob 1 Ste. 7 C, Augusta, GA 30901 |
| Byron Faler | General Surgery | Augusta Surgical Group, P.C. | 1430 Harper St, Suite B, Augusta, GA 30901-0619 |
| James C Sherman | General Surgery | 1430 Harper St B, Augusta, GA 30901-0619 | |
| Edward T Wills | General Surgery | 1430 Harper St, Suite B, Augusta, GA 30901-0619 | |
| Bradley C Bandera | General Surgery | Augusta Surgical Group, P.C. | 1430 Harper St, Suite B, Augusta, GA 30901-0619 |
| Pamela L Burgess | General Surgery | Augusta Surgical Group, P.C. | 1430 Harper St, Suite B, Augusta, GA 30901-0619 |
| Find all physicians in zip 30901 | |||
| City | AUGUSTA |
| Zip Code | 30901 |
| Specialty | PATHOLOGY |
| City + Specialty | AUGUSTA + PATHOLOGY |
Please comment or provide details below to improve the information on Sanjiv Vinayak Prabhu.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.