Nisha Ashok Patel Prabhu, PA-C
Physician Assistant, Medical in Frankfort, KY. Individual provider (NPI-1).
NPI number1003211046
StatusActive
Last updated in NPPESNov 4, 2014
Details
- NPI
- 1003211046
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Nisha Ashok Patel Prabhu
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 4, 2014
- Last updated
- Nov 4, 2014
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PHYSICIAN ASSISTANT
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AM0700X | Physician Assistant, Medical | TC340 | KY | Yes |
Practice location
601 Versailles RdFrankfort, KY 40601-3857
Phone 502-695-3946
Mailing address
601 Versailles RdFrankfort, KY 40601-3857
Phone 502-695-3946
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