Provider Demographics
NPI:1093287385
Name:RAMACHANDRAN, PRASHANTH SRIRAM (MBBS, BMEDSCI, FRACP)
Entity Type:Individual
Prefix:DR
First Name:PRASHANTH
Middle Name:SRIRAM
Last Name:RAMACHANDRAN
Suffix:
Gender:M
Credentials:MBBS, BMEDSCI, FRACP
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Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:675 NELSON RISING LN
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94158
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1500 OWENS ST STE 320
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94158-2335
Practice Address - Country:US
Practice Address - Phone:415-353-2069
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-12-26
Last Update Date:2019-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CASPI5692084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology