Koushik Prudvi Kasanagottu, MD
Koushik Prudvi Kasanagottu, MD is an Internal Medicine in Eastvale, California. Qualified in 2018, 8 years ago. Practices with Beaver Medical Group P C, a 255-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California.
- Years since qualifying
- 8
- Licensed in
- CA
- In the registry since
- 2018
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
5379 Hamner Ave Unit 801Eastvale, CA 91752-1042
Phone: (888) 854-1397
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 1700 N Waterman Ave, San Bernardino, CA 92404-5115 — (909) 883-8611
Specialties & licences
| Internal Medicine Physician (primary) | Taxonomy 207R00000X · Licence 186556 (CA) |
|---|
Record details
| NPI number | 1033601844 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | Yes |
| NPI enumerated | June 6, 2018 |
| Last updated in NPPES | November 26, 2025 |
| Certification date | November 26, 2025 |
Medicare enrollment
| Medicare specialty | INTERNAL MEDICINE |
|---|---|
| Medical school | OTHER |
| Graduated | 2018 (8 years in practice) |
| Group practice | Beaver Medical Group P C — 255 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |
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