Panthagani, Prasad B
Panthagani, Prasad B is an sole proprietor health care provider with primary practice located at 701 Cottage Grove Rd Suite B210, Bloomfield CT 06002-3080. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Panthagani, Prasad B can be contacted via phone (860) 242-9090.Contact Information
Primary practice address
701 Cottage Grove Rd Suite B210
Bloomfield CT 06002-3080
Phone: (860) 242-9090
Fax: (860) 242-9191
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 044859 | Connecticut |
Profile Details
| NPI number | 1609945427 |
|---|---|
| LBN Legal business name | Panthagani, Prasad B |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 7th, 2006 |
| Last updated | Mar 21st, 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 | 1609945427 | NPPES |
| Connecticut | MEDICAID | 001448598 |
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