Individual
INDIRARANI DODDAPANENI PRASAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1200 N MAIN ST STE 200, SANTA ANA, CA 92701-3640
(714) 480-6767
(714) 568-4362
Mailing address
1200 N MAIN ST STE 201, SANTA ANA, CA 92701-3637
(714) 480-6767
(714) 568-4362
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
C52652
CA
Other
Enumeration date
05/24/2006
Last updated
05/13/2020
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