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

Dr. Prabhat Mukerjee, MD

Individual provider Internal Medicine Physician · NPI 1306136759

Dr. Prabhat Mukerjee, MD is an Internal Medicine in Pasadena, California. Qualified in 2009, 17 years ago. Practices with Southern California Permanente Medical Group, an 11,242-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
17
Licensed in
CA
In the registry since
2011
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

441 Maple Way Unit #3
Pasadena, CA 91101-1274
Phone: (323) 540-4151
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 4650 Lincoln Blvd, Marina Del Rey, CA 90292-6306 — (310) 823-8911
  • 8700 Beverly Blvd Ste B220, West Hollywood, CA 90048-1804 — (310) 423-5252

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence A116434 (CA)

Record details

NPI number1306136759
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 19, 2011
Last updated in NPPESMay 7, 2024
Certification dateMarch 29, 2024
Mailing address441 Maple Way, Unit #3, Pasadena, CA 91101-1274

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Southern California Permanente Medical Group — 11242 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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