NPI 1164846986

Derek Prabharasuth, MD

Practitioner Urology Physician Lafayette, IN

Practice location

Address: 5165 McCarty Ln, Lafayette, IN 47905-8764
Phone: (765) 448-8000
Fax: (765) 838-4758
Mailing address: 250 N Shadeland Ave, Indianapolis, IN 46219-4959

Registered specialties (4)

Urology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208800000X Licence 01099585A (IN)

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Registry record

NPI: 1164846986
Entity type: Individual
Sex (as registered): Male
NPI issued: 13 Feb 2014
Record last updated: 8 May 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.