Provider Demographics
NPI:1326335332
Name:CHAUDHRI PRABHAKAR, PARUL (DO)
Entity Type:Individual
Prefix:
First Name:PARUL
Middle Name:
Last Name:CHAUDHRI PRABHAKAR
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:PARUL
Other - Middle Name:
Other - Last Name:CHAUDHRI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DO
Mailing Address - Street 1:3000 ARLINGTON AVE # MS 1108
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43614-2595
Mailing Address - Country:US
Mailing Address - Phone:419-383-5555
Mailing Address - Fax:419-383-3113
Practice Address - Street 1:3333 GLENDALE AVE
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43614-2426
Practice Address - Country:US
Practice Address - Phone:419-383-5555
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-06-29
Last Update Date:2024-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL125-059321207Q00000X
NY309433207Q00000X
OH34.012403207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine