Ian Prudhomme, MD
Ian Prudhomme, MD is a Pathology in APO, Armed Forces Americas. Graduated from Uniformed Services Uhs Fe Hebert School of Med in 2016, 10 years ago. Practices with Integrated Regional Laboratories Pathology Services, LLC, a 133-clinician group and accepts Medicare assignment. Licensed in Nebraska.
- Years since qualifying
- 10
- Trained at
- Uniformed Services Uhs Fe Hebert School of Med
- Licensed in
- NE
- In the registry since
- 2016
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address may be wrong
2200 Bergquist Dr Ste 1 WHMC/GE-2200 Jbsa Lackland Afb TXAPO, AA 78236-5300
Phone: (423) 943-2720
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Anatomic Pathology & Clinical Pathology Physician (primary) | Taxonomy 207ZP0102X · Licence 30410 (NE) |
|---|
Record details
| NPI number | 1780044362 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | February 25, 2016 |
| Last updated in NPPES | January 8, 2024 |
| Certification date | January 8, 2024 |
Medicare enrollment
| Medicare specialty | PATHOLOGY |
|---|---|
| Medical school | UNIFORMED SERVICES UHS FE HEBERT SCHOOL OF MED |
| Graduated | 2016 (10 years in practice) |
| Group practice | Integrated Regional Laboratories Pathology Services, Llc — 133 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 3 on file with Medicare |