Individual
MR. PRASAD D MUMMANENI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1700 NORTH ROSE AVENUE, SUITE 350, OXNARD, CA 93030
(805) 983-0208
(805) 981-0565
Mailing address
1700 NORTH ROSE AVENUE, SUITE 350, OXNARD, CA 93030
(805) 983-0208
(805) 981-0565
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A35782
CA
207RC0000X
Cardiovascular Disease Physician
Primary
A35782
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A357820
—
CA
01
—
A35782
STATE LIC
CA
Enumeration date
11/01/2006
Last updated
03/07/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us