PRABHU DEEPAK KUMAR UDAYAKUMAR MD NPI 1679725923

NPI Information

NPI: 1679725923
Provider Name: PRABHU DEEPAK KUMAR UDAYAKUMAR, MD
Classification: Internal Medicine - 207RR0500X
Entity Type: Individual

Specialization: Rheumatology

PECOS Registration: Yes

Address:
1850 HICKORY ST
STE 200F
ABILENE, TX
ZIP 79601
Phone: (325) 670-4590
Get Directions

Prabhu Deepak Kumar Udayakumar, MD is a rheumatology internal medicine in Abilene, TX with 19 years of experience. The provider is an internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases. Prabhu Deepak Kumar Udayakumar, MD NPI is 1679725923. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1850 HICKORY ST
STE 200F
ABILENE, TX
ZIP 79601-305
Phone: (325) 670-4590
Fax: (325) 670-4587

The NPI 1679725923 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/17/2008 and was last updated on 7/8/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RR0500X	Internal Medicine	Rheumatology	R9552	TEXAS	Yes
2	207RR0500X	Internal Medicine	Rheumatology	54627	MINNESOTA	No
3	207RR0500X	Internal Medicine	Rheumatology	105531	MINNESOTA	No
4	390200000X	Student in an Organized Health Care Education/Training Program		RL10815	NORTH DAKOTA	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	PO1053458	OTHER	MINNESOTA	MEDICARE RAILROAD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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