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Individual
DR. PRANITHA MANTRALA
Active
Individual
DR. PRANITHA MANTRALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
276789
NY
208M00000X
Hospitalist Physician
276789
NY
208M00000X
Hospitalist Physician
Primary
56312
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03914463
—
NY
Enumeration date
08/23/2011
Last updated
02/07/2024
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