PRASANTHI PASALA GANDHAM

LOUISVILLE, KY
NPI1306135389
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy208000000X Pediatrics
(Licence: KY  47284)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
(Licence: VA  0116028500)
2080P0205X Pediatrics, Pediatric Endocrinology
(Licence: VA  0116028500)
2080P0205X Pediatrics, Pediatric Endocrinology
(Licence: OH  35.134354)
Enumeration Date2011-03-30
Last Update Date2022-06-03
Business Address
PRASANTHI PASALA GANDHAM M.D.
411 E CHESTNUT ST
LOUISVILLE, KY 40202
Phone number: 502-588-3400
Mailing Address
PRASANTHI PASALA GANDHAM M.D.
PO BOX 776879
CHICAGO, IL 60677-6879
Phone number: 502-272-5817