Praserthdam, Manus

Praserthdam, Manus is an sole proprietor health care provider with primary practice located at 1201 5Th Ave N Suite 208, St Petersburg FL 33705-1400. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Praserthdam, Manus can be contacted via phone (727) 894-1122.

Contact Information

Primary practice address
1201 5Th Ave N Suite 208 St Petersburg FL 33705-1400
Phone: (727) 894-1122
Fax: (727) 894-0033
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X ME33665 Florida

Profile Details

NPI number 1891787917
LBN Legal business name Praserthdam, Manus
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 16th, 2005
Last updated Jul 8th, 2007 - about 17 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 1891787917 NPPES
Florida Other 3106012 UNITED HEALTHCARE
Florida Other 0184828 UNITED HEALTHCARE
Florida Other 0666950 UNITED HEALTHCARE
Florida Other 212769 UNITED HEALTHCARE

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