Individual
PRASAD S VANKINENI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
420 LOWELL DR., SUITE 204, HUNTSVILLE, AL 35801-3763
(256) 536-9031
(256) 539-4240
Mailing address
420 LOWELL DRIVE, SUITE 204, HUNTSVILLE, AL 35801-3763
(256) 536-9031
(256) 539-4240
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
10838
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000011586
—
AL
Enumeration date
11/14/2006
Last updated
01/27/2010
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