Koushik Prudvi Kasanagottu, MD

NPI #1033601844 in Eastvale, California

Provider Information

NPI Number: 1033601844
Entity Type: Individual
Name: Koushik Prudvi Kasanagottu, MD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Internal Medicine
Credential: MD
Enumeration Date: Jun 6, 2018
Last Updated: Nov 26, 2025

Practice Location

Address: 5379 HAMNER AVE UNIT 801
City: Eastvale
State: California
ZIP Code: 91752-1042
Phone: (888) 854-1397

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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