Individual
MS. PRANATHI LINGAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1354 E 15TH ST, EDMOND, OK 73013-5029
(405) 285-8823
Mailing address
14024 QUAIL POINTE DR, OKLAHOMA CITY, OK 73134-1006
(405) 419-8465
(405) 419-7745
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
37247
OK
207N00000X
Dermatology Physician
P6859
TX
207R00000X
Internal Medicine Physician
37247
OK
207R00000X
Internal Medicine Physician
BP10034494
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
.
.
—
Enumeration date
10/25/2009
Last updated
12/01/2023
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