Provider Demographics
NPI:1306630678
Name:NAGARAJAPPA, PRAJWALA (MBBS)
Entity type:Individual
Prefix:DR
First Name:PRAJWALA
Middle Name:
Last Name:NAGARAJAPPA
Suffix:
Gender:F
Credentials:MBBS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:NO 1738 14TH MAIN ROAD
Mailing Address - Street 2:SURYANAGARA PHASE 1
Mailing Address - City:BANGALORE
Mailing Address - State:KAMATAKA
Mailing Address - Zip Code:560099
Mailing Address - Country:IN
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:WEST VIRGINIA UNIVERSITY SCHOOL OF MEDICINE
Practice Address - Street 2:64 MEDICAL CENTER DR
Practice Address - City:MORGANTOWN
Practice Address - State:WV
Practice Address - Zip Code:26506
Practice Address - Country:US
Practice Address - Phone:917-019-3526
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-09
Last Update Date:2025-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program