Active NPIIndividual provider

Prasanthi Kandula

Dermatology, Procedural Dermatology in Saint Louis, Missouri

NPI Number1225458185
Practice location
10287 Clayton RD Ste 360, Saint Louis, MO 63124-1181
Fax
—
Last updated
January 29, 2025

Prasanthi Kandula is a Dermatology, Procedural Dermatology based in Saint Louis, MO. Prasanthi Kandula practices in Saint Louis, MO. The NPI Number for Prasanthi Kandula is 1225458185 and holds a License No. 274491 (MA). The current practice location address for Prasanthi Kandula is 10287 Clayton RD Ste 360, Saint Louis, MO 63124-1181 and can be reached out via phone at 314-350-8207.

Provider Profile Details

NPI Number
1225458185
Provider Name
Prasanthi Kandula
Provider Entity Type
Individual
Gender
Female
Address
10287 Clayton RD Ste 360, Saint Louis, MO 63124-1181
Phone Number
314-350-8207
Primary Taxonomy
Dermatology, Procedural Dermatology · 207NS0135X
Sole Proprietor
No
Provider Enumeration Date
April 18, 2014
Last Update Date
January 29, 2025
Certification Date
January 29, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
10287 Clayton RD Ste 360
Saint Louis, MO 63124-1181
Zip
63124-1181
Phone Number
314-350-8207
Saint Louis, MO 63124Get directions →

Provider Business Mailing Address Details

Address
10287 Clayton RD Ste 360
Saint Louis, MO 63124-1181
City
Saint Louis
State
MO
Zip
63124-1181

License Information

License Number
274491
License State
MA
Taxonomy
Dermatology, Procedural Dermatology · 207NS0135X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Prasanthi Kandula?

The NPI number of Prasanthi Kandula is 1225458185. It was assigned on April 18, 2014 and is currently active in the NPPES registry.

What is the specialty of Prasanthi Kandula?

Prasanthi Kandula is registered under the primary taxonomy Dermatology, Procedural Dermatology (code 207NS0135X), licensed in MA under license number 274491.

Where does Prasanthi Kandula practice?

The practice location is 10287 Clayton RD Ste 360, Saint Louis, MO 63124-1181. The office can be reached at 314-350-8207 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1225458185 directly on the NPPES registry website.

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