Prasanthi Kandula

Procedural Dermatology Physician · Saint Louis, MO

Individual Active NPI

NPI number 1225458185

Practice location

10287 Clayton Rd Ste 360
Saint Louis, MO 63124-1181
Phone
(314) 350-8207

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NPI record

NPI
1225458185
Entity type
Individual (Type 1)
Enumeration date
April 18, 2014
Last updated
January 29, 2025
Certified
January 29, 2025
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Procedural Dermatology Physician Primary 207NS0135X 274491 MA

Other practice locations (1)

  • 1244 Boylston St, Chestnut Hill, MA 02467 · (617) 731-1600

About Prasanthi Kandula

Prasanthi Kandula is a healthcare provider registered in the NPI registry with the primary taxonomy Procedural Dermatology Physician (code 207NS0135X). The practice location is 10287 Clayton Rd Ste 360, Saint Louis, MO 63124-1181. The NPI number 1225458185 was assigned on April 18, 2014 and the record was last updated on January 29, 2025.

Prasanthi Kandula lists a license in the registry: #274491 (MA) for Procedural Dermatology Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Prasanthi Kandula?

The NPI number is 1225458185.

What is the phone number of Prasanthi Kandula?

The phone number listed for the practice location is (314) 350-8207.

Where is Prasanthi Kandula located?

10287 Clayton Rd Ste 360, Saint Louis, MO 63124-1181.

What is the taxonomy code for Prasanthi Kandula?

The primary taxonomy code is 207NS0135X – Procedural Dermatology Physician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.