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Individual

PRASANNA ISAAC

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
01067936A
IN
207RN0300X
Nephrology Physician
35.095468
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1012980
LA
05
1021263090001
PA
05
200977120
IN
05
2925099
OH
Enumeration date
06/18/2007
Last updated
08/15/2024
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