| NPI | 1033601844 |
|---|---|
| NPI Type | NPI-1 Individual |
| Status | Active |
| Enumeration Date | 2018-06-06 |
| Last Updated | 2025-11-26 |
| Mailing Address | 5379 Hamner Ave Unit 801 Eastvale, CA 91752-1042 United States Phone: (888) 854-1397 📍 View Map |
| Primary Practice Address | 5379 Hamner Ave Unit 801 Eastvale, CA 91752-1042 United States Phone: (888) 854-1397 📍 View Map |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 207R00000X – Internal Medicine | CA | 186556 |
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About NPI 1033601844
Koushik Prudvi Kasanagottu MD is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1033601844. The primary specialty listed is Internal Medicine. The provider is located in Eastvale, CA. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2018-06-06. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1033601844?
NPI 1033601844 belongs to Koushik Prudvi Kasanagottu MD, a Internal Medicine in Eastvale, CA. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.
Is NPI 1033601844 active?
The current status of NPI 1033601844 in the NPPES registry is Active. The record was last updated on 2025-11-26.
What specialty is NPI 1033601844?
NPI 1033601844 is classified under the taxonomy Internal Medicine. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1033601844?
You can verify NPI 1033601844 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1033601844?
The primary practice address on file for NPI 1033601844 is 5379 Hamner Ave Unit 801, Eastvale, CA 91752-1042. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1033601844 issued?
NPI 1033601844 was first issued (enumerated) on 2018-06-06. The NPPES record was last updated on 2025-11-26.
Practice Location Map
Koushik Prudvi Kasanagottu is located at 5379 Hamner Ave Unit 801, Eastvale, CA. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Koushik Prudvi Kasanagottu. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1033601844. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Internal Medicine | 186556 | CA |