Suryanarayana, Prakash Goutham Beleyur

Suryanarayana, Prakash Goutham Beleyur is an sole proprietor health care provider with primary practice located at 2080 Oakley Seaver Dr Ste 130 , Clermont FL 34711-1962. He recently has only one registered license in Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology, which is considered as his primary health care specialty. Suryanarayana, Prakash Goutham Beleyur can be contacted via phone (321) 841-6444.

Contact Information

Primary practice address
2080 Oakley Seaver Dr Ste 130 Clermont FL 34711-1962
Phone: (321) 841-6444
Fax: (407) 650-1307
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology 207RC0001X D88499 Maryland
Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology 207RC0001X ME153140 Florida

Profile Details

NPI number 1710174172
LBN Legal business name Suryanarayana, Prakash Goutham Beleyur
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 1st, 2007
Last updated Mar 22nd, 2024 - about 6 months 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 1710174172 NPPES
Florida MEDICAID 113482600

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