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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1386835601 | NPPES |
| Florida | Other | ME109423 | FLORIDA MEDICAL BOARD |
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