Individual provider · NPI-1
Praseeda Akella, MD
Family Medicine · Mesa, AZ
NPI number1396495503
StatusActive
Last updated in NPPESOct 10, 2025
Details
- NPI
- 1396495503
- Entity type
- Individual (NPI-1)
- Name
- Praseeda Akella
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 29, 2022
- Certification date
- Oct 10, 2025
- Last updated
- Oct 10, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 77918 | AZ | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
6843 E Main StMesa, AZ 85207-8207
Phone 480-870-7300 · Fax 480-906-2172
Mailing address
102 Woodmont Blvd Ste 600Nashville, TN 37205-5250
Phone 615-706-8357 · Fax 615-523-1910
Other practice locations
4500 13th St
Gulfport, MS 39501-2515
Gulfport, MS 39501-2515
Phone 228-867-4968
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