Kunamneni, Prabhakara

Kunamneni, Prabhakara is an individual health care provider with primary practice located at 1825 Salk Ave , Tavares FL 32778-4311. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Kunamneni, Prabhakara can be contacted via phone (352) 343-1158.

Contact Information

Primary practice address
1825 Salk Ave Tavares FL 32778-4311
Phone: (352) 343-1158
Fax: (352) 343-8106
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 223231 New York
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X ME101637 Florida

Profile Details

NPI number 1972545093
LBN Legal business name Kunamneni, Prabhakara
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2006
Last updated Apr 22nd, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972545093 NPPES
Florida MEDICAID 001219100

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