Individual
DR. PRASANNA KAPAVARAPU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3401 CIVIC CENTER BLVD, PHILADELPHIA, PA, PA 19104-3364
(215) 590-3630
Mailing address
3401 CIVIC CENTER BLVD, SUITE M975, PHILADELPHIA, PA, PA 19104-3364
(215) 590-3630
Taxonomy
Speciality
Code
Description
License number
State
2080P0206X
Pediatric Gastroenterology Physician
Primary
MD467468
PA
282NR1301X
Rural Acute Care Hospital
—
—
Other
Enumeration date
02/21/2014
Last updated
03/16/2024
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