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

Pranav Raghunath Prabhu, PA

Individual provider Medical Physician Assistant · NPI 1972850436

Pranav Raghunath Prabhu, PA is a Physician Assistant in Rochester, New York. Qualified in 2012, 14 years ago. Practices with Hematology Clinical Group, a 80-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
14
Licensed in
NY
In the registry since
2012
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

1555 Long Pond Rd Dept OF Medicine
Rochester, NY 14626-4122
Phone: (585) 723-7870
Fax: (585) 723-7871
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 015786 (NY)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 15786 (NY)

Record details

NPI number1972850436
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedAugust 14, 2012
Last updated in NPPESJune 30, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Hematology Clinical Group — 80 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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