KOUSHIK PRUDVI KASANAGOTTU

EASTVALE, CA
NPI1033601844
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207R00000X Internal Medicine
(Licence: CA  186556)
Enumeration Date2018-06-06
Last Update Date2025-11-26
Business Address
KOUSHIK PRUDVI KASANAGOTTU MD
5379 HAMNER AVE UNIT 801
EASTVALE, CA 91752-1042
Phone number: 888-854-1397
Mailing Address
KOUSHIK PRUDVI KASANAGOTTU MD
5379 HAMNER AVE UNIT 801
EASTVALE, CA 91752-1042
Phone number: 888-854-1397
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