Mandalapu, Prasanti

Mandalapu, Prasanti is an individual health care provider with primary practice located at 933 E Pierce St , Council Bluffs IA 51503-4626. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is her primary health care specialty. Mandalapu, Prasanti can be contacted via phone (712) 396-4360.

Contact Information

Primary practice address
933 E Pierce St Council Bluffs IA 51503-4626
Fax: (712) 396-7069
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 41116 Iowa
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 41116 Iowa

Profile Details

NPI number 1518163831
LBN Legal business name Mandalapu, Prasanti
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 24th, 2007
Last updated Aug 2nd, 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 1518163831 NPPES
Iowa Other 41116 MEDICAL LICENSE
Iowa MEDICAID 1518163831 MEDICAL LICENSE
Iowa MEDICAID 100263273-00 MEDICAL LICENSE

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