Podaralla, Prashanth

Podaralla, Prashanth is an individual health care provider with primary practice located at 100 Medical Dr , Hannibal MO 63401-6877. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Nephrology. Allopathic & Osteopathic Physicians / Nephrology is his primary health care specialty. Podaralla, Prashanth can be contacted via phone (573) 231-3798.

Contact Information

Primary practice address
100 Medical Dr Hannibal MO 63401-6877
Phone: (573) 231-3798
Fax: (573) 231-3827
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 2006017617 Missouri
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 2006017617 Missouri

Profile Details

NPI number 1730226952
LBN Legal business name Podaralla, Prashanth
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 30th, 2007
Last updated Mar 3rd, 2021 - about 4 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 1730226952 NPPES
Missouri MEDICAID 1730226952
Missouri Other 137720019

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