Ishwari Prasad Md Ph D Pa | |
14447 University Cove Place Tampa FL 33613 | |
(813) 978-1769 | |
Not Available |
Full Name | Ishwari Prasad Md Ph D Pa |
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Speciality | Internal Medicine |
Location | 14447 University Cove Place, Tampa, Florida |
Authorized Official Name and Position | Ishwari Prasad (OWNER) |
Authorized Official Contact | 8139781769 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Ishwari Prasad Md Ph D Pa 14447 University Cove Place Tampa FL 33613 Ph: (813) 978-1769 | Ishwari Prasad Md Ph D Pa 14447 University Cove Place Tampa FL 33613 Ph: (813) 978-1769 |
NPI Number | 1043466568 |
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Provider Enumeration Date | 08/15/2008 |
Last Update Date | 11/13/2008 |
Medicare PECOS PAC ID | 9234277179 |
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Medicare Enrollment ID | O20091112000502 |
Identifier | Type | State | Issuer |
---|---|---|---|
1043466568 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0100X | Internal Medicine - Gastroenterology | ME0058761 (Florida) | Primary |
Provider Name | Ishwari Prasad |
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Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1518934835 PECOS PAC ID: 9436223146 Enrollment ID: I20090212000595 |
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