Nidadavolu, Naga Lakshmana Prasad

Nidadavolu, Naga Lakshmana Prasad is an sole proprietor health care provider with primary practice located at 4355 Nw American Ln , Lake City FL 32055-4828. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Nidadavolu, Naga Lakshmana Prasad can be contacted via phone (386) 755-1221.

Contact Information

Primary practice address
4355 Nw American Ln Lake City FL 32055-4828
Phone: (386) 755-1221
Fax: (386) 755-1219
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X GETP.LSU Louisiana

Profile Details

NPI number 1386835601
LBN Legal business name Nidadavolu, Naga Lakshmana Prasad
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 5th, 2007
Last updated Oct 27th, 2017 - about 7 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 1386835601 NPPES
Florida Other ME109423 FLORIDA MEDICAL BOARD

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