Mallappa Nanjappa Prabhu, MD - Family Medicine in Greystone Park, NJ

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Mallappa Nanjappa Prabhu, MD is a Family Medicine - Adult Medicine physician based in Greystone Park, New Jersey. Mallappa Nanjappa Prabhu is licensed to practice in New Jersey (license number 026220) and his current practice location is 1 Central Avenue, Greystone Park Psychiatric Hospital, Greystone Park, New Jersey. He can be reached at his office (for appointments etc.) via phone at (973) 538-1800.

NPI number for Mallappa Nanjappa Prabhu is 1265508238 and his current mailing address is 2 Hilary Ter, Succasunna, New Jersey. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1265508238.

Contact Information

Mallappa Nanjappa Prabhu, MD
1 Central Avenue, Greystone Park Psychiatric Hospital,
Greystone Park, NJ 07950
(973) 538-1800
(973) 993-9081

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Physician's Profile

Full NameMallappa Nanjappa Prabhu
GenderMale
SpecialityFamily Medicine - Adult Medicine
Location1 Central Avenue, Greystone Park, New Jersey
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1265508238
  • Provider Enumeration Date: 11/28/2006
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Mallappa Nanjappa Prabhu such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1265508238NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207QA0505XFamily Medicine - Adult Medicine 026220 (New Jersey)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mallappa Nanjappa Prabhu is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mallappa Nanjappa Prabhu, MD
2 Hilary Ter,
Succasunna, NJ 07876-1055

Ph: (973) 584-7752		Mallappa Nanjappa Prabhu, MD
1 Central Avenue, Greystone Park Psychiatric Hospital,
Greystone Park, NJ 07950

Ph: (973) 538-1800

Reviews and Comments


Family Medicine Doctors in Greystone Park, NJ


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