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NPI Verification

National Provider Identifier: 1427098540

Prabhakar Rao Guduru, M.d

Individual Provider

Credentials

M.D

Primary Specialty

Internal Medicine, Geriatric Medicine

Code: 207RG0300X

All Specialties (2)

Internal Medicine

Code: 207R00000X

Internal Medicine, Geriatric Medicine

Code: 207RG0300X

Primary

Practice Address

2101 ELM ST N

VETERANS AFFAIRS MEDICAL CENTER

FARGO, ND 581022417

Phone: 701-239-3700

NPI Enumeration Date

June 7, 2006

NPI Number

1427098540

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry