Individual provider · Type 1 NPI

Koushik Prudvi Kasanagottu, MD

Internal Medicine Physician · Eastvale, CA

NPI number 1033601844 Active

Practice location

5379 Hamner Ave Unit 801
Eastvale, CA 91752-1042

Other practice locations

  • 1700 N Waterman Ave, San Bernardino, CA 92404-5115 · (909) 883-8611

Specialties and licenses

TaxonomyCodeLicense
Internal Medicine Physician Primary 207R00000X186556 (CA)

Internal Medicine Physician: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medi…

2 other providers at this address

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About NPI 1033601844

Koushik Prudvi Kasanagottu, MD's National Provider Identifier is 1033601844, issued on Jun 6, 2018. The primary taxonomy on file is Internal Medicine Physician (207R00000X), and the practice location is in Eastvale, CA. The record was last updated on Nov 26, 2025.