IndividualActive
Abhishek Prabhu, DO
NPI 1801411657 · Emergency Medicine Physician · Lagrange, IN
Provider details
- NPI number
- 1801411657
- Entity type
- Individual
- Primary specialty
- Emergency Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Male
- Sole proprietor
- Yes
- License
- 02006789A (IN)
Mailing address
608 Union Chapel Rd
Fort Wayne, IN 46845-9357
Registry dates
- Enumerated
- 2020-06-08
- Last updated
- 2025-12-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.