Prasanthi Pasala Gandham
Pediatrician Pediatric Endocrinologist
411 E Chestnut St
Louisville
, Kentucky 40202
Prasanthi Pasala Gandham
Pediatrician Pediatric Endocrinologist
411 E Chestnut St
Louisville
, Kentucky 40202
(502) 272-5339
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About
Features
Specialties
- Pediatrician
- Pediatric Endocrinologist
Languages spoken
- English
Location
First Address
- Prasanthi Pasala Gandham
- Po Box 776879
- Chicago, IL
- Zip : 60677-6879
- Fax : (502) 272-5339
- Phone : (502) 272-5817
Second Address
- Prasanthi Pasala Gandham
- 411 E Chestnut St
- Louisville, KY
- Zip : 40202
- Fax : (502) 588-3401
- Phone : (502) 588-3400
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208000000X | Pediatrician | 47284 | KY |
| N | 2080P0205X | Pediatric Endocrinologist | 0116028500 | VA |
| N | 2080P0205X | Pediatric Endocrinologist | 35.134354 | OH |
National Provider Identifier
| NPI | 1306135389 |
|---|---|
| Provider Name | Prasanthi Pasala Gandham |
| First Address | Chicago, IL 60677-6879 |
| Second Address | Louisville, KY 40202 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 30/03/2011 |
| Last Update Date | 10/04/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 201242010 | (05) | IN |
| 7100212920 | (05) | KY |
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.