Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Banu Prasad Myneni, DO

Individual provider Family Medicine Physician · NPI 1780082693

Dr. Banu Prasad Myneni, DO is a Family Practice in Portsmouth, Virginia. Graduated from West Virginia School of Osteopathic Medicine in 2015, 11 years ago. Practices with Privia Medical Group, LLC, a 1,518-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Illinois and Virginia.

Years since qualifying
11
Trained at
West Virginia School of Osteopathic Medicine
Licensed in
IL, VA
In the registry since
2014
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

3235 Academy Ave Ste 101
Portsmouth, VA 23703-3200
Phone: (757) 484-7386
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 0102206019 (VA)
Family Medicine Physician Taxonomy 207Q00000X · Licence 036-144866 (IL)

Record details

NPI number1780082693
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedDecember 9, 2014
Last updated in NPPESMay 14, 2024
Certification dateMay 14, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolWEST VIRGINIA SCHOOL OF OSTEOPATHIC MEDICINE
Graduated 2015 (11 years in practice)
Group practice Privia Medical Group, Llc — 1518 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Portsmouth