Individual
PRASHANTH REDDY DAMALCHERUVU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MBBS
Contact information
Practice address
4301 W MARKHAM ST, LITTLE ROCK, AR 72205-7199
(501) 454-7661
Mailing address
PO BOX 251420, LITTLE ROCK, AR 72225-1420
(016) 868-0005
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
Primary
E-14393
AR
Other
Enumeration date
10/29/2020
Last updated
08/20/2021
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