Provider Demographics
NPI:1790941912
Name:RASAMSETTY, PRATHIMA (DDS)
Entity Type:Individual
Prefix:DR
First Name:PRATHIMA
Middle Name:
Last Name:RASAMSETTY
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:306 RICHLAND HILLS DR STE 103
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78245-3233
Mailing Address - Country:US
Mailing Address - Phone:719-545-5778
Mailing Address - Fax:719-545-5783
Practice Address - Street 1:306 RICHLAND HILLS DR STE 103
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78245-3233
Practice Address - Country:US
Practice Address - Phone:210-674-5370
Practice Address - Fax:210-673-7741
Is Sole Proprietor?:No
Enumeration Date:2008-08-07
Last Update Date:2024-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX241131223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO9710OtherCO DENTAL LICENSE