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1396268223
PRASANNA KUMAR GANGISHETTI
LEXINGTON, KY
NPI
1396268223
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: KY R4398)
Enumeration Date
2017-07-23
Last Update Date
2018-08-12
Business Address
PRASANNA KUMAR GANGISHETTI MBBS
800 ROSE ST RM NO MN-118
LEXINGTON, KY 40536
Phone number: 859-323-5157
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Mailing Address
PRASANNA KUMAR GANGISHETTI MBBS
800 ROSE STREET RM NO. MN118
LEXINGTON, KY 40536-0293
Phone number: 859-323-5157
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