Individual
MANOGJNA RUTH PRASAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1215 N BEAVER ST STE 203, FLAGSTAFF, AZ 86001-3120
(928) 773-2200
Mailing address
4150 V ST, SACRAMENTO, CA 95817-1460
(916) 734-3730
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A189776
CA
207RI0200X
Infectious Disease Physician
Primary
75397
AZ
Other
Enumeration date
11/16/2020
Last updated
10/09/2025
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