Individual
DR. ADITYA SUDNAGUNTA PRASAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3828 SCHAUFELE AVE STE 250, LONG BEACH, CA 90808-1793
(657) 241-8990
(714) 665-4664
Mailing address
17360 BROOKHURST ST, ATTN: CREDENTIALING DEPARTMENT, FOUNTAIN VALLEY, CA 92708-3720
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
48210
AZ
207RC0000X
Cardiovascular Disease Physician
Primary
A103484
CA
207RI0011X
Interventional Cardiology Physician
A103484
CA
Other
Enumeration date
06/05/2008
Last updated
04/30/2026
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