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Individual

PRASANTHI MARELLA

Active
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Individual

PRASANTHI MARELLA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M D

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
250537-1
NY
207R00000X
Internal Medicine Physician
MD435259
PA
207R00000X
Internal Medicine Physician
Primary
ME157521
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1023665930001
—
PA
05
—
117154400
—
FL
01
—
3733889000
INDEPENDENCE BLUE CROSS
PA
01
—
50087605
CAPITAL BLUE CROSS
PA
Enumeration date
01/08/2009
Last updated
04/23/2026
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