Individual
PRASANNA MANJINI SENGODAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1513 UNION AVE STE 2700, MOBERLY, MO 65270-9404
(660) 263-0524
(660) 372-6407
Mailing address
1515 UNION AVE, MOBERLY, MO 65270-9407
(660) 263-0524
(660) 372-6407
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
56786
CT
207R00000X
Internal Medicine Physician
57.024476
OH
207RI0011X
Interventional Cardiology Physician
Primary
2021-02399
NC
Other
Enumeration date
09/16/2014
Last updated
10/17/2025
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