Mishra, Prasanthi Koduru

Mishra, Prasanthi Koduru is an individual health care provider with primary practice located at 3440 E La Palma Ave , Anaheim CA 92806-2020. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine. Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine is her primary health care specialty. Mishra, Prasanthi Koduru can be contacted via phone (714) 644-7040.

Contact Information

Primary practice address
3440 E La Palma Ave Anaheim CA 92806-2020
Phone: (714) 644-7040
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X A98005 California
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X A98005 California

Profile Details

NPI number 1437353802
LBN Legal business name Mishra, Prasanthi Koduru
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2007
Last updated Dec 14th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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