Provider Demographics
NPI:1740253228
Name:NARAHARI, PRANEETHA REDDY (MD)
Entity type:Individual
Prefix:
First Name:PRANEETHA
Middle Name:REDDY
Last Name:NARAHARI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1105 E SPRUCE AVE
Mailing Address - Street 2:SUITE 201
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93720-3313
Mailing Address - Country:US
Mailing Address - Phone:559-450-7200
Mailing Address - Fax:559-450-7214
Practice Address - Street 1:1510 E HERNDON AVE STE 210
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93720-3333
Practice Address - Country:US
Practice Address - Phone:559-450-7200
Practice Address - Fax:559-450-7214
Is Sole Proprietor?:No
Enumeration Date:2006-02-07
Last Update Date:2024-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA152162208600000X
CAA66871208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
042472266OtherHEALTHCARE VALUE MGMT
042472266OtherPRIVATE HEALTHCARE SYSTEM
5178691OtherAETNA US HEALTHCARE
54431OtherCHILDRENS MEDICAL SECURIT
1204683OtherFIRST HEALTH
MA3202712Medicaid
43247OtherFALLON COMMUNITY HEALTH
7612735OtherCIGNA HEALTH PLAN
J21697OtherBLUE SHIELD INDEMNITY
J21697OtherBLUE SHIELD HMO BLUE
3202712OtherHEALTHY START
3202712OtherMEDICAID WELFARE
AA3073OtherHARVARD PILGRIM HEALTH
J21697OtherBLUE CARE ELECT
1700178OtherEVERCARE
784059OtherMVP HEALTH CARE
042472266OtherONE HEALTH PLAN
042472266OtherPRIVATE HEALTHCARE SYSTEM
1700178OtherEVERCARE