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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1679955694

Dr. Kruthika Proddatoori, MD is an Internal Medicine in San Leandro, California. Qualified in 2009, 17 years ago. Practices with Epic Care, a 54-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
17
Licensed in
CA
In the registry since
2015
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

13851 E 14th St Ste 305
San Leandro, CA 94578-2630
Phone: (510) 351-1193
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence A153221 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1679955694
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 25, 2015
Last updated in NPPESSeptember 23, 2020
Certification dateSeptember 23, 2020

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Epic Care — 54 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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