Prateek Babru Thatikunta, MD

Individual provider Vascular Neurology Physician · NPI 1093246670

Prateek Babru Thatikunta, MD is a Neurology in Oakland, California. Qualified in 2017, 9 years ago. Practices with Permanente Medical Group Inc, a 10,941-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying: 9
Licensed in: CA
In the registry since: 2017
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

3701 Broadway
Oakland, CA 94611-5613
Phone: (408) 806-0978

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neurology Physician (primary)	Taxonomy 2084N0400X · Licence A158382 (CA)
Vascular Neurology Physician	Taxonomy 2084V0102X · Licence A158382 (CA)

Record details

NPI number	1093246670
Entity type	Individual (Type 1)
Gender	Male
Credentials	MD
Sole proprietor	No
NPI enumerated	March 24, 2017
Last updated in NPPES	August 30, 2023
Certification date	August 29, 2023
Mailing address	1299 Regency Dr, San Jose, CA 95129-4136

Medicare enrollment

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

Medicare specialty	NEUROLOGY
Medical school	OTHER
Graduated	2017 (9 years in practice)
Group practice	Permanente Medical Group Inc — 10941 clinicians
Accepts Medicare assignment	Yes — accepts the Medicare-approved amount