Active NPIIndividual providerSole proprietor

Dr. Pranitha Mantrala, MD

Hospitalist in Bridgeport, Connecticut

NPI Number1578843496
Practice location
267 Grant St, Bridgeport, CT 06610-2805
Fax
—
Last updated
February 7, 2024

Pranitha Mantrala is a Hospitalist based in Bridgeport, CT. Pranitha Mantrala practices in Bridgeport, CT and has the professional credentials of MD. The NPI Number for Pranitha Mantrala is 1578843496 and holds a License No. 276789 (NY). The current practice location address for Pranitha Mantrala is 267 Grant St, Bridgeport, CT 06610-2805 and can be reached out via phone at 203-641-5484.

Provider Profile Details

NPI Number
1578843496
Provider Name
Pranitha Mantrala
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
267 Grant St, Bridgeport, CT 06610-2805
Phone Number
203-641-5484
Primary Taxonomy
Hospitalist · 208M00000X
Sole Proprietor
Yes
Provider Enumeration Date
August 23, 2011
Last Update Date
February 7, 2024
Certification Date
February 7, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
267 Grant St
Bridgeport, CT 06610-2805
Zip
06610-2805
Phone Number
203-641-5484
Bridgeport, CT 06610Get directions →

Provider Business Mailing Address Details

Address
267 Grant St
Bridgeport, CT 06610-2805
City
Bridgeport
State
CT
Zip
06610-2805

License Information

License Number (1)
276789
License State (1)
NY
Taxonomy (1)
Internal Medicine · 207R00000X
License Number (2)
276789
License State (2)
NY
Taxonomy (2)
Hospitalist · 208M00000X
License Number (3)
56312
License State (3)
CT
Taxonomy (3)
Hospitalist · 208M00000X · 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 Dr. Pranitha Mantrala, MD?

The NPI number of Dr. Pranitha Mantrala, MD is 1578843496. It was assigned on August 23, 2011 and is currently active in the NPPES registry.

What is the specialty of Dr. Pranitha Mantrala, MD?

Dr. Pranitha Mantrala, MD is registered under the primary taxonomy Hospitalist (code 208M00000X), licensed in NY under license number 276789.

Where does Dr. Pranitha Mantrala, MD practice?

The practice location is 267 Grant St, Bridgeport, CT 06610-2805. The office can be reached at 203-641-5484 (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 1578843496 directly on the NPPES registry website.

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