Most Relevant Information
Provider Data
| NPI Number: | 1003211046 |
| Provider Name: | NISHA ASHOK PATEL PRABHU PA-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363AM0700X |
| Specialty: | Physician Assistant |
| License Number: | TC340 |
Most Important Dates
| Enumeration Date: | 11/04/2014 |
| Last Updated: | 11/04/2014 |
Provider Practice Location
601 VERSAILLES RD
FRANKFORT
KY
406013857
Practice Location Phone/Fax
| Phone: | 5026953946 |
| Fax: |
Provider Mailing Location
601 VERSAILLES RD
FRANKFORT
KY
406013857
Provider Mailing Phone/Fax
| Phone: | 5026953946 |
| Fax: |