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

Dr. Prashanth Mannam

Individual provider Internal Medicine Physician · NPI 1104090935

Dr. Prashanth Mannam is an Internal Medicine in Bronx, New York. Qualified in 1999, 27 years ago. Practices as a sole proprietor, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
27
Licensed in
NY
In the registry since
2008
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Practice location Address checks out

1170 Castle Hill Ave
Bronx, NY 10462-4810
Phone: (212) 600-8540
Fax: (719) 792-6001
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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 233520 (NY)

Record details

NPI number1104090935
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 14, 2008
Last updated in NPPESSeptember 27, 2022
Certification dateSeptember 27, 2022

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 1999 (27 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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