Provider Demographics
NPI:1649260423
Name:KANNEGANTI, PRASAD V (MD)
Entity type:Individual
Prefix:
First Name:PRASAD
Middle Name:V
Last Name:KANNEGANTI
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Gender:M
Credentials:MD
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Other - First Name:
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Mailing Address - Street 1:1299 OLENTANGY RIVER RD
Mailing Address - Street 2:STE 103
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43212-3135
Mailing Address - Country:US
Mailing Address - Phone:614-566-4278
Mailing Address - Fax:614-566-5424
Practice Address - Street 1:285 E STATE ST
Practice Address - Street 2:STE 430
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43215-4354
Practice Address - Country:US
Practice Address - Phone:614-566-9777
Practice Address - Fax:614-566-8611
Is Sole Proprietor?:No
Enumeration Date:2005-10-24
Last Update Date:2011-08-12
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Provider Licenses
StateLicense IDTaxonomies
OH35071094K2084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology