Srinagesh, Prasanna Sampurna

Srinagesh, Prasanna Sampurna is an individual health care provider with primary practice located at 220 Uvalda St , Waycross GA 31501-4569. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Nephrology. Allopathic & Osteopathic Physicians / Nephrology is his primary health care specialty. Srinagesh, Prasanna Sampurna can be contacted via phone (912) 285-2053.

Contact Information

Primary practice address
220 Uvalda St Waycross GA 31501-4569
Phone: (912) 285-2053
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 046093 Connecticut
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 046093 Connecticut
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 66648 Georgia

Profile Details

NPI number 1104002666
LBN Legal business name Srinagesh, Prasanna Sampurna
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 15th, 2008
Last updated Nov 7th, 2012 - about 13 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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