Reddy, Prakash Patlolla

Reddy, Prakash Patlolla is an individual health care provider with primary practice located at 1597 Ridge Rd W Suite # 301, Rochester NY 14615-2513. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Reddy, Prakash Patlolla can be contacted via phone (585) 314-7595.

Contact Information

Primary practice address
1597 Ridge Rd W Suite # 301 Rochester NY 14615-2513
Phone: (585) 314-7595
Fax: (585) 368-0860
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 182152 New York

Profile Details

NPI number 1376595223
LBN Legal business name Reddy, Prakash Patlolla
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2006
Last updated Jun 30th, 2023 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376595223 NPPES
New York MEDICAID 00357497
New York Other 0010182152
New York Other RC60182152
New York Other MDG569

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