Individual provider · Type 1 NPI

Pranuthi Ratna Dasari, MD

Student in an Organized Health Care Education/Training Program · Springfield, IL

NPI number 1235967472 Active

Practice location

520 N 4th St
Springfield, IL 62702-5238

Call (217) 220-7073 Map

Mailing address

2650 Cooper Ave Apt 308
Springfield, IL 62704-1178

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1235967472

Pranuthi Ratna Dasari, MD's National Provider Identifier is 1235967472, issued on Jul 22, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Springfield, IL. The record was last updated on Jul 22, 2024.