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

Prathima Pangulur

Individual provider Internal Medicine Physician · NPI 1356634950

Prathima Pangulur is an Internal Medicine in Rochester, New York. Qualified in 2011, 15 years ago. Practices with The Emory Clinic Inc, a 3,500-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
15
Licensed in
NY
In the registry since
2011
Specialties on file
2
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Practice location Address checks out

1425 Portland Ave
Rochester, NY 14621-3001
Phone: (585) 922-5067
Fax: (585) 922-1399
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1200 Driving Park Ave, Newark, NY 14513-1090 — (315) 359-2123

Specialties & licences

Hospitalist Physician (primary) Taxonomy 208M00000X · Licence 276457 (NY)
Internal Medicine Physician Taxonomy 207R00000X · Licence 276457 (NY)

Record details

NPI number1356634950
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 16, 2011
Last updated in NPPESApril 1, 2019

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice The Emory Clinic Inc — 3500 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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