Provider Demographics
NPI:1366630105
Name:NEGI, PRABHU D (MD)
Entity Type:Individual
Prefix:DR
First Name:PRABHU
Middle Name:D
Last Name:NEGI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8100 MERRIMOOR BLVD
Mailing Address - Street 2:
Mailing Address - City:LARGO
Mailing Address - State:FL
Mailing Address - Zip Code:33777-3126
Mailing Address - Country:US
Mailing Address - Phone:727-398-6436
Mailing Address - Fax:
Practice Address - Street 1:8100 MERRIMOOR BLVD
Practice Address - Street 2:
Practice Address - City:LARGO
Practice Address - State:FL
Practice Address - Zip Code:33777-3126
Practice Address - Country:US
Practice Address - Phone:727-398-6436
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-05
Last Update Date:2007-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD028319E208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery