Basic Information
| Provider Information | |||||||||
| NPI: | 1114314622 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | PRAMMANASUDH | ||||||||
| FirstName: | CASEY | ||||||||
| MiddleName: | SEHRI | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 41 UNIVERSITY DR STE 300 | ||||||||
| Address2: | |||||||||
| City: | NEWTOWN | ||||||||
| State: | PA | ||||||||
| PostalCode: | 189401873 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2157107037 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 178 W STREET RD | ||||||||
| Address2: | |||||||||
| City: | FEASTERVILLE TREVOSE | ||||||||
| State: | PA | ||||||||
| PostalCode: | 190537817 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2153225042 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 04/22/2015 | ||||||||
| LastUpdateDate: | 05/17/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 05/17/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207V00000X | MD23678 | ME | N | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology | 207V00000X | BP10053067 | TX | Y | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology |
No ID Information.