Individual
PRASHANTH R VENNALAGANTI
Active
Individual
PRASHANTH R VENNALAGANTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
39125
IA
207R00000X
Internal Medicine Physician
R7997
IA
207RG0100X
Gastroenterology Physician
Primary
ME145021
FL
Other
Enumeration date
06/22/2007
Last updated
06/01/2020
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