Prasanthi Pasala Gandham
M.D. | Pediatrics | Female
Prasanthi Pasala Gandham, M.D. is a Louisville, Kentucky based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Prasanthi Pasala Gandham is
411 E Chestnut St, Louisville, Kentucky - 40202. She can be contacted on phone at
502-588-3400 and fax number 502-588-3401.
Prasanthi Pasala Gandham is a sole proprietor of her business.
NPI number (Unique professional ID) for Prasanthi Pasala Gandham is
1306135389 which was assigned by NPPES on 30 Mar, 2011 and it was last updated on 03 Jun, 2022.
Prasanthi Pasala Gandham license number is
47284 for Pediatrics (208000000X) in Kentucky.
Prasanthi Pasala Gandham is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Prasanthi Pasala Gandham basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
|---|
| Provider Name : | Prasanthi Pasala Gandham |
|---|
| Credential : | M.D. |
|---|
| Gender : | Female |
|---|
Business Address:
Prasanthi Pasala Gandham address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 411 E Chestnut St
Louisville, KY, 40202
United States |
|---|
| Phone Number : | 502-588-3400 |
|---|
| Fax Number : | 502-588-3401 |
|---|
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1306135389 |
|---|
| NPI Entity Type : | Individual |
|---|
| First Enrolment Date : | 30 Mar, 2011 |
|---|
| Last Updated On : | 03 Jun, 2022 |
|---|
Medicare Participation:
Prasanthi Pasala Gandham participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.
| Medicare PECOS ID : | 4688890742 |
|---|
| Medicare Enrollment ID : | I20140725000458 |
|---|
| Primary Specialty : | Pediatric Medicine |
|---|
| Medical School : | University Of Cincinnati College Of Medicine |
|---|
| Graduation Year : | 2007 |
|---|
| Accepts Medicare? | Yes. Prasanthi Pasala Gandham accepts medicare insurance. |
|---|
Group Practice Association:
Prasanthi Pasala Gandham is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Prasanthi Pasala Gandham is associated with along with the number of members in that group. She may also accept medicare indirectly via these group practices.
| Organisation Name : | Group Practice ID | No. of Members | Practice Address | Group Accepts Medicare |
|---|
| Norton Childrens Medical Group Llc | 3779917596 | 109 | 411 E Chestnut St
St7
Louisville, KY - 402021713
Ph: 5025883400 | Yes |
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Prasanthi Pasala Gandham are as mentioned. Primary taxonomy code for Prasanthi Pasala Gandham, M.D. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | No | 0116028500 | VA |
| 208000000X | Pediatrics | Yes | 47284 | KY |
| 2080P0205X | Pediatrics Pediatric Endocrinology | No | 0116028500 | VA |
| 2080P0205X | Pediatrics Pediatric Endocrinology | No | 35.134354 | OH |
Legacy Identifiers:
Other legacy medical identifiers of Prasanthi Pasala Gandham such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 201242010 | MEDICAID | IN | |
| 7100212920 | MEDICAID | KY | |
Other Practice Locations:
| Practice Address | City, State | Phone Number |
|---|
1 PERKINS SQ DEPT,
AKRON, OH, 44308
United States | AKRON, OH | 330-543-3276 |
1 PERKINS SQ DEPT,
AKRON, OH, 44308
United States | AKRON, OH | 330-543-3276 |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | Po Box 776879
Chicago, IL, 60677-6879
United States |
|---|
| Phone Number : | 502-272-5817 |
|---|
| Fax Number : | 502-272-5339 |
|---|
Business Location:
Patients can refer following map for directions to
Prasanthi Pasala Gandham practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.