National Provider Identifier
Prasadvarma Penmetsa, MD
Prasadvarma Penmetsa, MD is listed in the NPPES registry with a primary specialty of Gastroenterology Physician in Rochester, NY and a listed phone number of (585) 723-0111.
Profile Overview
- NPI
- 1891750451
- Provider Type
- Individual
- Primary Specialty
- Gastroenterology Physician
- Enumeration Date
- April 18, 2006
- Last Updated
- August 30, 2012
Practice Location
- 1561 Long Pond RD
- Rochester, NY 14626-4117
Phone: (585) 723-0111
Mailing Address
- 790 Linden Ave
- Rochester, NY 14625-2716
Specialties
- Gastroenterology Physician (207RG0100X)
Full Record
- NPI
- 1891750451
- Entity Type
- Individual
- Last Name
- Penmetsa
- First Name
- Prasadvarma
- Name Prefix
- Dr.
- Credential
- MD
- Mailing Street Address
- 790 Linden Ave
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14625-2716
- Mailing Country
- US
- Mailing Phone
- (585) 385-9030
- Mailing Fax
- (585) 385-9124
- Practice Street Address
- 1561 Long Pond RD
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14626-4117
- Practice Country
- US
- Practice Phone
- (585) 723-0111
- Enumeration Date
- April 18, 2006
- Last Updated
- August 30, 2012
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Gastroenterology Physician (207RG0100X)