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Individual
PRASAD JOGU
Active
Individual
PRASAD JOGU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
270736
NY
207R00000X
Internal Medicine Physician
C153295
CA
208M00000X
Hospitalist Physician
270736
NY
208M00000X
Hospitalist Physician
Primary
C153206
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03623058
—
NY
Enumeration date
02/26/2011
Last updated
03/17/2018
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