PRITI PRAKASH EZHUVATHRA MD
NPI 1043007107
Student in an Organized Health Care Education/Training Program in Southaven, MS
About Priti Prakash Ezhuvathra Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PRITI PRAKASH EZHUVATHRA MD (NPI 1043007107) is an individual student in an organized health care education/training program in Southaven, Mississippi and active in the NPI registry since April 2025. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Priti Prakash Ezhuvathra Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SOUTHAVEN, MS 38671
SOUTHAVEN, MS 38671
SOUTHAVEN, MS 38671
SOUTHAVEN, MS 38671
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Priti Ezhuvathra's NPI number?
The NPI number for Priti Ezhuvathra is 1043007107. It was assigned to this individual provider in the NPPES registry on April 22, 2025.
Where is Priti Ezhuvathra located?
Priti Ezhuvathra practices at 7601 Southcrest Pkwy, Southaven, MS 38671. The listed phone number is (662) 772-3607.
What is Priti Ezhuvathra's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Priti Ezhuvathra enrolled in Medicare?
Yes. Priti Ezhuvathra is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Priti Ezhuvathra was last updated on April 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
