{"npi":"1104090935","type":"NPI-1","status":"active","name":{"display":"Dr. Prashanth Mannam","other":[{"code":"2","type":"Professional name","value":"MANNAM, PRASHANTH"}],"first":"PRASHANTH","last":"MANNAM"},"specialty":{"primary_taxonomy":"207R00000X","primary_taxonomy_description":"Internal Medicine","slug":"internal-medicine","schema_org_specialty":"Internal","all":[{"code":"207R00000X","description":"Internal Medicine","primary":true,"state":"NY","license":"233520"}]},"addresses":[{"purpose":"LOCATION","street_1":"1170 CASTLE HILL AVE","city":"BRONX","state":"NY","postal_code":"104624810","country_code":"US","phone":"2126008540","fax":"7197926001"},{"purpose":"MAILING","street_1":"1170 CASTLE HILL AVE","city":"BRONX","state":"NY","postal_code":"104624810","country_code":"US","phone":"2126008540"}],"license":{"state":"NY","number":"233520"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"03231734","state":"NY","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20090310000154","type_code":"14-11","type_desc":"PRACTITIONER - INTERNAL MEDICINE","state":"NY","pac_id":"1658437090"}]},"enumeration_date":"2008-04-14","last_updated":"2022-09-27","_meta":{"source":"NPPES","snapshot_date":"2022-09-27","doc_url":"https://findmynpi.com/api"}}