National Provider Identifier

Prathima Pangulur

Prathima Pangulur is listed in the NPPES registry with a primary specialty of Hospitalist Physician in Rochester, NY and a listed phone number of (585) 922-5067.

NPI 1356634950Rochester, NYHospitalist Physician

Profile Overview

NPI
1356634950
Provider Type
Individual
Primary Specialty
Hospitalist Physician
Enumeration Date
May 16, 2011
Last Updated
April 01, 2019

Practice Location

  • 1425 Portland Ave
  • Rochester, NY 14621-3001

Phone: (585) 922-5067

Mailing Address

  • 100 Kings Hwy S
  • Rochester, NY 14617-5504

Specialties

  • Hospitalist Physician (208M00000X)
  • Internal Medicine Physician (207R00000X)
Full Record
NPI
1356634950
Entity Type
Individual
Last Name
Pangulur
First Name
Prathima
Mailing Street Address
100 Kings Hwy S
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14617-5504
Mailing Country
US
Mailing Phone
(585) 922-0553
Practice Street Address
1425 Portland Ave
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14621-3001
Practice Country
US
Practice Phone
(585) 922-5067
Practice Fax
(585) 922-1399
Enumeration Date
May 16, 2011
Last Updated
April 01, 2019
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Hospitalist Physician (208M00000X), Internal Medicine Physician (207R00000X)
Other Identifiers
01131126/RGH (NY), 03001654/NWK (NY)