MR. PRASANNA K ATHYALA (NPI# 1760624605) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760624605 |
| Entity Type | Individual |
| Full Name | MR. PRASANNA K ATHYALA |
| Practice Address |
415 N Jackson Ave Odessa TX 79761-5124 |
| Practice Telephone | 4323331837 |
| Practice Fax Number | 4323331856 |
| Mailing Telephone | 4323331837 |
| Mailing Fax Number | 4323331856 |
| Enumeration Date | 2009-03-24 |
| Last Update Date | 2009-03-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246RM2200X |
Technician, Pathology Specialization: Medical Laboratory |
Technologists, Technicians & Other Technical Service Providers |
| Street Address |
415 N JACKSON AVE |
| City | ODESSA |
| State | TX |
| Zip Code | 79761-5124 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225159510 | Prasanna K Athyala | Clinical Medical Laboratory | 415 N Jackson Ave, Odessa, TX 79761-5124 | 2007-04-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407482003 | Endovascular Lab Pllc | Surgery | 612 N Washington Avenue, Suite 100, Odessa, TX 79761 | 2020-03-16 |
| 1235627605 | Megan Elizabeth Lemond | Pediatrics | 912 E 5th St, Odessa, TX 79761 | 2018-05-01 |
| 1922522630 | Brian W Griffin | Nurse Practitioner | 4606 Fountain Ln., Odessa, TX 79761 | 2017-08-03 |
| 1023540507 | Florenda De Guzman | Nurse Practitioner | 405 N Tom Green, Odessa, TX 79761 | 2017-04-03 |
| 1205378239 | Scotty R Ortega Md | Clinical Nurse Specialist | 2487 E 11th Street, Odessa, TX 79761 | 2016-11-08 |
| 1487094355 | Marivel Perez | Nurse Practitioner | 540 W 5th St Ste 350, Ste. 350, Odessa, TX 79761 | 2013-06-25 |
| 1245579804 | Accurate Health Care LLC | Home Health | 302 Industrial Ave, Odessa, TX 79761 | 2013-02-01 |
| 1437421666 | Mary Magdalene Garcia | Speech-Language Pathologist | 620 N. Alleghaney, Odessa, TX 79761 | 2012-02-03 |
| 1841576378 | Ashley Burdex | Family Medicine | 6030 W University, Odessa, TX 79761 | 2011-10-28 |
| 1730465428 | Therese A Archer | Massage Therapist | 712 N. Texas Ave, Odessa, TX 79761 | 2011-10-26 |
| Find all providers in zip 79761 | ||||
| Taxonomy Code | 246RM2200X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Technician, Pathology |
| Specialization | Medical Laboratory |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366932501 | Brooke Johnson | Technician, Pathology | 26022 Budde Rd Ste B103, Spring, TX 77380-2014 | 2018-05-14 |
| 1477079556 | Mini Vetticadan | Technician, Pathology | 3245 Reid Dr Ste B, Corpus Christi, TX 78404-2518 | 2017-08-20 |
| 1518342807 | Michael Thai | Technician, Pathology | 15814 Mission Terrace Ct, Houston, TX 77083-5266 | 2015-07-28 |
| 1205227766 | Donald Eugene Prentiss Jr. | Technician, Pathology | 10713 N Ranch Road 620, Bldg E Ste 525, Austin, TX 78726-1756 | 2015-02-05 |
| 1669894598 | Rose Udeh-nwosuocha | Technician, Pathology | 16100 Cairnway Dr Ste 225, Houston, TX 77084-3500 | 2014-01-12 |
| 1891085197 | Cathy Kekeocha | Technician, Pathology | 5755 College St Ste C, Beaumont, TX 77707-3518 | 2011-04-08 |
| 1548598964 | Charlotte Miles Porter | Technician, Pathology | 9210 Hanover Cv, Converse, TX 78109-2947 | 2009-11-23 |
| 1689829418 | Charlotte B Vdovychenko | Technician, Pathology | 2801 Brazos Blvd, Apt 4309, Euless, TX 76039-5435 | 2008-11-20 |
| 1093869489 | Andre Laboratory Inc | Technician, Pathology | 1570 Lomaland, Suite C, El Paso, TX 79935 | 2007-01-22 |
| 1033228127 | Rose Toon | Technician, Pathology | 2718 Barbee St, Houston, TX 77004-5367 | 2006-08-30 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MR. PRASANNA K ATHYALA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.