Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ajay Prabhu

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1962242032

Ajay Prabhu is a Student in an Organized Health Care Education/Training Program in Tyler, Texas. Licensed in Texas. Registered with an NPI since 2024.

Licensed in
TX
In the registry since
2024
Specialties on file
2

Practice location Address checks out

11937 Hwy 271
Tyler, TX 75708-3154
Phone: (903) 877-7253
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X · Licence BP10090383 (TX)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1962242032
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 28, 2024
Last updated in NPPESJune 5, 2024
Certification dateJune 5, 2024
Mailing address11937 Hwy 271, Tyler, TX 75708-3154

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