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Individual
PRASANTH BOBBY KATTA
Active
Individual
PRASANTH BOBBY KATTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
FK5377355
KY
208100000X
Physical Medicine & Rehabilitation Physician
Primary
036154765
IL
208100000X
Physical Medicine & Rehabilitation Physician
R3525
KY
208VP0000X
Pain Medicine Physician
036154765
IL
Other
Enumeration date
06/27/2014
Last updated
04/23/2024
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