MR. Prashanth Gumpu Shivashankar

NPI #1356030803 in Odessa, Texas

Provider Information

NPI Number: 1356030803
Entity Type: Individual
Name: MR. Prashanth Gumpu Shivashankar
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Internal Medicine
Enumeration Date: May 2, 2023
Last Updated: Jan 21, 2026

Practice Location

Address: 701 W. 5TH STREET
City: Odessa
State: Texas
ZIP Code: 79763
Phone: (432) 703-5375

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X
Internal Medicine	207R00000X	Primary

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