Provider Demographics
NPI:1003202557
Name:NARRA, PRATYUSHA KISHORE (MBBS)
Entity Type:Individual
Prefix:DR
First Name:PRATYUSHA KISHORE
Middle Name:
Last Name:NARRA
Suffix:
Gender:F
Credentials:MBBS
Other - Prefix:DR
Other - First Name:PRATYUSHA
Other - Middle Name:
Other - Last Name:KONDAKRINDI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MBBS
Mailing Address - Street 1:3490 CALIFORNIA ST
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94118-1891
Mailing Address - Country:US
Mailing Address - Phone:415-514-6200
Mailing Address - Fax:415-514-6410
Practice Address - Street 1:3490 CALIFORNIA ST
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94118-1891
Practice Address - Country:US
Practice Address - Phone:415-514-6200
Practice Address - Fax:415-514-6410
Is Sole Proprietor?:No
Enumeration Date:2015-04-11
Last Update Date:2020-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA156390207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine