Prana Medical Office

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

PRANA MEDICAL OFFICE

Practice address

510 Scenic Dr
Modesto, CA 95350-6126

Phone

(209) 574-1111

NPI assigned

Oct 4, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Rao V Mudunuri, M.D.

Title

M.D.

Phone

(209) 574-1111

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1386739100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1319",
            "city": "SALIDA",
            "state": "CA",
            "postal_code": "953681319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 SCENIC DR",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953506126",
            "telephone_number": "209-574-1111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRANA MEDICAL OFFICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MUDUNURI",
        "authorized_official_first_name": "RAO",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "209-574-1111",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Isabel Janell Prado-Torres
• Alex Misael Prado
• Kassandra Prado
• Manisha Prakash
• Shanaya Prakash
• Bhipin B Prasad
• Daisy Prasad
• Divya Prasad
• Fatima Sher Prasad
• Kelvin Prasad, PHARMD

• Family Medicine Physician in Modesto, CA
• Providers in Modesto, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.