MEDICARE: CHANDRA PRABHA M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	23389	NE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	P00255285	OTHER	NE	RR
2	247335	OTHER	NE	MIDLANDS CHOICE
3	30075	OTHER	NE	BCBSNE

General Provider Information

NPI Number	:	1376587592
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHANDRA PRABHA M.D.

Provider Business Mailing Address
First Line	:	110 N 29TH ST
Second Line	:	STE. 302
City	:	NORFOLK
State	:	NE
Zip	:	68701-4461
Country	:	US
Telephone Number	:	402-844-8190
Fax Number	:	402-844-8191

Provider Business Practice Location Address
First Line	:	110 N 29TH ST
Second Line	:	STE. 302
City	:	NORFOLK
State	:	NE
Zip	:	68701-4461
Country	:	US
Telephone Number	:	402-844-8190
Fax Number	:	402-844-8191

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/16/2006
Last Update Date	:	01/11/2008

Similar Medicare Providers

1265489157 — FAITH REGIONAL PHYSICIAN SERVICES, LLC
Practice Location Address:

110 N 29TH ST , SUITE 201
NORFOLK, NE
68701-4461

Practice Phone: 402-844-8385
Practice Fax: 402-844-8122

1336196161 — DOUGLAS WELSH M.D.
Practice Location Address:

110 N 29TH ST , STE. 301
NORFOLK, NE
68701-4461

Practice Phone: 402-844-8284
Practice Fax: 402-644-7505

1679520225 — RAJIV RANJAN M.D.
Practice Location Address:

110 N 29TH ST , STE. 301
NORFOLK, NE
68701-4461

Practice Phone: 402-844-8284
Practice Fax: 402-644-7505

1548201643 — JONATHAN WEITZMANN M.D.
Practice Location Address:

110 N 29TH ST , STE. 303
NORFOLK, NE
68701-4461

Practice Phone: 402-844-8131
Practice Fax: 402-844-8130

1689605289 — DIANE BRENNAN APRN
Practice Location Address:

110 N 29TH ST , STE. 101
NORFOLK, NE
68701-4461

Practice Phone: 402-644-7550
Practice Fax: 402-644-7551

1235209941 — CELESTE KAUFMAN APRN
Practice Location Address:

110 N 29TH ST , STE. 301
NORFOLK, NE
68701-4461

Practice Phone: 402-844-8284
Practice Fax: 402-644-7505

Directions to “ CHANDRA PRABHA M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.