Individual
MOHANDAS PRATURI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5500 E KELLOGG DR, TEAM 5, WICHITA, KS 67218-1607
(646) 306-1861
Mailing address
5500 E KELLOGG DR, TEAM 5, WICHITA, KS 67218-1607
(646) 306-1861
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101238721
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
238386-1
LICENSE
NY
Enumeration date
04/07/2006
Last updated
05/16/2011
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