Individual
DR. PRASADVARMA PENMETSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1561 LONG POND RD, ROCHESTER, NY 14626-4117
(585) 723-0111
Mailing address
790 LINDEN AVE, ROCHESTER, NY 14625-2716
(585) 385-9030
(585) 385-9124
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
197830
NY
Other
Enumeration date
04/18/2006
Last updated
08/30/2012
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