Individual
PRANITA DEVARAJU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2211 NE 139TH ST, VANCOUVER, WA 98686-2742
(360) 397-1985
(360) 604-1604
Mailing address
3204 N 169TH AVE, OMAHA, NE 68116-2660
(402) 541-6658
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/31/2025
Last updated
03/31/2025
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