Manapragada, Sivarao

Manapragada, Sivarao is an individual health care provider with primary practice located at 555 W State Road 434 , Longwood FL 32750-5119. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Manapragada, Sivarao can be contacted via phone (321) 842-2994.

Contact Information

Primary practice address
555 W State Road 434 Longwood FL 32750-5119
Phone: (321) 842-2994
Fax: (407) 767-5801
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME72231 Florida

Profile Details

NPI number 1326014242
LBN Legal business name Manapragada, Sivarao
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 28th, 2006
Last updated Sep 23rd, 2014 - about 10 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 1326014242 NPPES
Florida MEDICAID 270171500
Florida Other 37907

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