Individual
DR. PRASANNA K. MARPU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
921 NE 13TH ST, OKLAHOMA CITY, OK 73104-5007
(405) 456-1000
Mailing address
12221 N MOPAC EXPY, AUSTIN, TX 78758-2401
(512) 901-4937
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
T4424
TX
208M00000X
Hospitalist Physician
01069153A
IN
208M00000X
Hospitalist Physician
Primary
T4424
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201021800
—
IN
01
—
P01270911
RR MEDICARE
IN
Enumeration date
06/04/2010
Last updated
04/24/2025
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