Mummaneni, Prasad D
Mummaneni, Prasad D is an sole proprietor health care provider with primary practice located at 1700 North Rose Avenue Suite 350, Oxnard CA 93030. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Mummaneni, Prasad D can be contacted via phone (805) 983-0208.Contact Information
Primary practice address
1700 North Rose Avenue Suite 350
Oxnard CA 93030
Phone: (805) 983-0208
Fax: (805) 981-0565
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | A35782 | California |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | A35782 | California |
Profile Details
| NPI number | 1831277714 |
|---|---|
| LBN Legal business name | Mummaneni, Prasad D |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 1st, 2006 |
| Last updated | Mar 7th, 2023 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1831277714 | NPPES |
| California | Other | A35782 | STATE LIC |
| California | MEDICAID | 00A357820 | STATE LIC |
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