Mantrala, Pranitha

Mantrala, Pranitha is an sole proprietor health care provider with primary practice located at 267 Grant St , Bridgeport CT 06610-2805. 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. Mantrala, Pranitha can be contacted via phone (203) 641-5484.

Contact Information

Primary practice address
267 Grant St Bridgeport CT 06610-2805
Phone: (203) 641-5484
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 276789 New York
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 276789 New York
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 56312 Connecticut

Profile Details

NPI number 1578843496
LBN Legal business name Mantrala, Pranitha
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 23rd, 2011
Last updated Feb 7th, 2024 - about 7 months 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 1578843496 NPPES
New York MEDICAID 03914463

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