Tadisetti, Siva Prasanna
Tadisetti, Siva Prasanna is an sole proprietor health care provider with primary practice located at 2615 Windguard Cir Ste 102, Wesley Chapel FL 33544-7353. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Tadisetti, Siva Prasanna can be contacted via phone (813) 333-3331.Contact Information
Primary practice address
2615 Windguard Cir Ste 102
Wesley Chapel FL 33544-7353
Phone: (813) 333-3331
Fax: (813) 466-7482
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | ME94439 | Florida |
Profile Details
| NPI number | 1518988823 |
|---|---|
| LBN Legal business name | Tadisetti, Siva Prasanna |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 21st, 2006 |
| Last updated | Sep 20th, 2023 - about 2 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 | 1518988823 | NPPES |
| Florida | Other | 77464773 | AETNA |
| Florida | MEDICAID | 274142300 | AETNA |
| Florida | Other | 31547 | AETNA |
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