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

Prasanna Manjini Sengodan

Individual provider Internal Medicine Physician · NPI 1538561006

Prasanna Manjini Sengodan is an Interventional Cardiology in Moberly, Missouri. Qualified in 2009, 17 years ago. Practices with Moberly Medical Clinics Inc, an 11-clinician group and accepts Medicare assignment. Licensed in Connecticut, North Carolina and Ohio.

Years since qualifying
17
Licensed in
CT, NC, OH
In the registry since
2014
Specialties on file
3
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Practice location Address checks out

1513 Union Ave Ste 2700
Moberly, MO 65270-9404
Phone: (660) 263-0524
Fax: (660) 372-6407
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Interventional Cardiology Physician (primary) Taxonomy 207RI0011X · Licence 2021-02399 (NC)
Internal Medicine Physician Taxonomy 207R00000X · Licence 57.024476 (OH)
Internal Medicine Physician Taxonomy 207R00000X · Licence 56786 (CT)

Record details

NPI number1538561006
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedSeptember 16, 2014
Last updated in NPPESOctober 17, 2025
Certification dateOctober 17, 2025

Medicare enrollment

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

Medicare specialtyINTERVENTIONAL CARDIOLOGY
Also practisesINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Moberly Medical Clinics Inc — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Moberly