Individual
PRASHANTH R VENNALAGANTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1300 MICCOSUKEE RD, TALLAHASSEE, FL 32308-5054
(850) 431-1155
Mailing address
4020 HOPEWELL SPRINGS DR, MILTON, GA 30004-1704
(319) 621-0859
(319) 621-0859
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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