Nuthakki, Prasanth

Nuthakki, Prasanth is an individual health care provider with primary practice located at 701 Superior Ave Ste B , Munster IN 46321-4038. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine, Sports Medicine, Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Allopathic & Osteopathic Physicians / Interventional Pain Medicine. Allopathic & Osteopathic Physicians / Interventional Pain Medicine is his primary health care specialty. Nuthakki, Prasanth can be contacted via phone (219) 333-4757.

Contact Information

Primary practice address
701 Superior Ave Ste B Munster IN 46321-4038
Phone: (219) 333-4757
Fax: (219) 401-4757
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine, Sports Medicine 204C00000X 01071908A Indiana
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 01071908A Indiana
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X 01071908A Indiana

Profile Details

NPI number 1114046455
LBN Legal business name Nuthakki, Prasanth
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 28th, 2007
Last updated Aug 1st, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1114046455 NPPES
Indiana MEDICAID 201134860

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