Pattisapu, Prasanth

Pattisapu, Prasanth is an individual health care provider with primary practice located at 555 S 18Th St , Columbus OH 43205-2654. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Otolaryngology, Allopathic & Osteopathic Physicians / Pediatric Otolaryngology. Allopathic & Osteopathic Physicians / Pediatric Otolaryngology is his primary health care specialty. Pattisapu, Prasanth can be contacted via phone (614) 722-6200.

Contact Information

Primary practice address
555 S 18Th St Columbus OH 43205-2654
Phone: (614) 722-6200
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 35.139893 Ohio
Allopathic & Osteopathic Physicians / Pediatric Otolaryngology 207YP0228X 35.139893 Ohio

Profile Details

NPI number 1386061679
LBN Legal business name Pattisapu, Prasanth
Credentials MD, MPH
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 25th, 2014
Last updated Dec 9th, 2022 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386061679 NPPES
Ohio Other H766830 CGS - MEDICARE
Ohio MEDICAID 0407117 CGS - MEDICARE

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