Look up the most recent NPI and PECOS records

Kiran Prabhakar

Student in an Organized Health Care Education/Training Program

Student, Health Care

128 E Apple St Fl 2, Dayton, OH 45409-2902

(937) 208-2004

PECOS Enrollment

Based on the most recent information from CMS, provider Kiran Prabhakar is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 8 days ago.

Profile Details

Provider ID
1447830104
Provider Type
Individual
Full Name
Prabhakar, Kiran
Credential
DO

Gender
Male
Sole Proprietor
No
Enumeration Date
4/8/2021
Last Updated
4/8/2021

Contact Information

Practice Location

128 E Apple St Fl 2, Dayton, OH 45409-2902

(937) 208-2004

Unlisted Fax

Mailing Location

128 E Apple St Fl 2, Dayton, OH 45409-2902

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 390200000X Primary	Description Student in an Organized Health Care Education/Training Program Student, Health Care	License Unlisted Issuer

Kiran Prabhakar

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

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Ehrlich, Haley Brooke

Radwan, Alia M

Dollin, Yonatan P

Kuch, Bunnarack

Said, Azhar

Siegal, Ilana Rachel

Devine, Shane Brenna

Miller, Matthew Phillip

Haratian, Ryan