Sanketh Proddutur Valid NPI

Individual provider · Family Medicine Physician · Monessen, PA

NPI

1184037822

Type

Individual (Type 1)

Primary specialty

Family Medicine Physician (Family Medicine)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

207Q00000X

License number

MD461835 (PA)

Sex

Male

Sole proprietor

No

Enumerated

2014-06-10

Last updated

2021-05-24