Gandham, Prasanthi Pasala

Gandham, Prasanthi Pasala is an individual health care provider with primary practice located at 411 E Chestnut St , Louisville KY 40202. She recently has 3 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Endocrinology. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Gandham, Prasanthi Pasala can be contacted via phone (502) 588-3400.

Contact Information

Primary practice address
411 E Chestnut St Louisville KY 40202
Phone: (502) 588-3400
Fax: (502) 588-3401
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X 0116028500 Virginia
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 47284 Kentucky
Allopathic & Osteopathic Physicians / Pediatric Endocrinology 2080P0205X 0116028500 Virginia
Allopathic & Osteopathic Physicians / Pediatric Endocrinology 2080P0205X 35.134354 Ohio

Profile Details

NPI number 1306135389
LBN Legal business name Gandham, Prasanthi Pasala
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 30th, 2011
Last updated Jun 3rd, 2022 - about 3 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 1306135389 NPPES
Kentucky MEDICAID 7100212920
Kentucky MEDICAID 201242010

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