Most Relevant Information
Provider Data
| NPI Number: | 1003504226 |
| Provider Name: | RISHAB RAJENDRA PRABHU M.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/26/2023 |
| Last Updated: | 08/14/2023 |
Provider Practice Location
44405 WOODWARD AVENUE
H-23
PONTIAC
MI
48341
Practice Location Phone/Fax
| Phone: | 2488586233 |
| Fax: |
Provider Mailing Location
44405 WOODWARD AVENUE
H-23
PONTIAC
MI
48341
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |