Kondapalli, Prasadarao

Kondapalli, Prasadarao is an individual health care provider with primary practice located at 15000 Madison Ave , Lakewood OH 44107-4014. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Kondapalli, Prasadarao can be contacted via phone (216) 227-1595.

Contact Information

Primary practice address
15000 Madison Ave Lakewood OH 44107-4014
Phone: (216) 227-1595
Fax: (216) 227-9465
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 35042650K Ohio
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 35042650 Ohio

Profile Details

NPI number 1336116565
LBN Legal business name Kondapalli, Prasadarao
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 7th, 2006
Last updated Mar 23rd, 2017 - about 7 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 1336116565 NPPES
Ohio MEDICAID 0428504
Ohio Other CA4511
Ohio Other 1780634279
Ohio Other D368301
Ohio Other 0119204
Ohio Other 3610861
Ohio Other 9273172
Ohio Other 10794333
Ohio Other 109902

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