Porayette, Prashanth
Porayette, Prashanth is an individual health care provider with primary practice located at 25845 Barton Rd Ste 101 , Loma Linda CA 92354. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Gastroenterology, which is considered as his primary health care specialty. Porayette, Prashanth can be contacted via phone (909) 558-3904.Contact Information
Primary practice address
25845 Barton Rd Ste 101
Loma Linda CA 92354
Phone: (909) 558-3904
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Gastroenterology | 2080P0206X | 036-138514 | Illinois |
| Allopathic & Osteopathic Physicians / Pediatric Gastroenterology | 2080P0206X | C186822 | California |
Profile Details
| NPI number | 1841425568 |
|---|---|
| LBN Legal business name | Porayette, Prashanth |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 26th, 2009 |
| Last updated | May 28th, 2024 - about last year |
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 | 1841425568 | NPPES |
| Illinois | MEDICAID | 036138514 |
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