Individual
DR. NIVEDITA PRASANNA
Active
Individual
DR. NIVEDITA PRASANNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
61203
TN
390200000X
Student in an Organized Health Care Education/Training Program
125067100
IL
Other
Enumeration date
06/24/2015
Last updated
04/05/2021
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