Prasanth Bobby Katta
Physical Medicine & Rehabilitation Doctor Family Doctor - Addiction Medicine
2111 Midlands Ct
Sycamore
, Illinois 60178-3125
Prasanth Bobby Katta
Physical Medicine & Rehabilitation Doctor Family Doctor - Addiction Medicine
2111 Midlands Ct
Sycamore
, Illinois 60178-3125
(815) 756-7130
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About
Features
Specialties
- Family Doctor - Addiction Medicine
- Physical Medicine & Rehabilitation Doctor
Languages spoken
- English
Location
First Address
- Prasanth Bobby Katta
- 2111 Midlands Ct
- Sycamore, IL
- Zip : 60178-3125
- Fax : (815) 756-7130
- Phone : (815) 758-0000
Second Address
- Prasanth Bobby Katta
- 2111 Midlands Ct
- Sycamore, IL
- Zip : 60178-3125
- Fax : (815) 756-7130
- Phone : (815) 758-0000
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207QA0401X | Family Doctor - Addiction Medicine | FK5377355 | KY |
| Y | 208100000X | Physical Medicine & Rehabilitation Doctor | 036154765 | IL |
| N | 208100000X | Physical Medicine & Rehabilitation Doctor | R3525 | KY |
National Provider Identifier
| NPI | 1720493877 |
|---|---|
| Provider Name | Prasanth Bobby Katta |
| First Address | Sycamore, IL 60178-3125 |
| Second Address | Sycamore, IL 60178-3125 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/06/2014 |
| Last Update Date | 17/05/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.