Individual
DR. PRASANNA K MUNIYAPPA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
660 LONDON AVE, SUITE A, MARYSVILLE, OH 43040-1515
(937) 642-1550
(937) 578-2821
Mailing address
660 LONDON AVE, SUITE A, MARYSVILLE, OH 43040-1515
(937) 642-1550
(937) 578-2821
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35-073558
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2185371
—
OH
Enumeration date
08/25/2005
Last updated
01/15/2018
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