| Prasad Korlipara. M.d. | |
|
1331 N Lawnwood Cir Fort Pierce FL 34950-4825 | |
| (772) 489-5900 | |
| (772) 489-2086 |
| Full Name | Prasad Korlipara. M.d. |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 1331 N Lawnwood Cir, Fort Pierce, Florida |
| Authorized Official Name and Position | Anjanaya Prasad Rao Korlipara (OWNER) |
| Authorized Official Contact | 7724895900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prasad Korlipara. M.d. 1331 N Lawnwood Cir Fort Pierce FL 34950-4825 Ph: (772) 489-5900 | Prasad Korlipara. M.d. 1331 N Lawnwood Cir Fort Pierce FL 34950-4825 Ph: (772) 489-5900 |
| NPI Number | 1386035301 |
|---|---|
| Provider Enumeration Date | 02/12/2015 |
| Last Update Date | 02/12/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386035301 | NPI | - | NPPES |
| 040773900 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | ME54509 (Florida) | Primary |
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