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Individual
PRASANTH PATTISAPU
Active
Individual
PRASANTH PATTISAPU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MPH
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
35.139893
OH
207YP0228X
Pediatric Otolaryngology Physician
Primary
35.139893
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0407117
—
OH
01
—
H766830
CGS - MEDICARE
OH
Enumeration date
03/25/2014
Last updated
11/19/2024
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