Korlipara, Anjanaya Prasad Rao

Korlipara, Anjanaya Prasad Rao is an sole proprietor health care provider with primary practice located at 1331 N Lawnwood Cir , Fort Pierce FL 34950-4825. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Korlipara, Anjanaya Prasad Rao can be contacted via phone (772) 489-5900.

Contact Information

Primary practice address
1331 N Lawnwood Cir Fort Pierce FL 34950-4825
Fax: (772) 489-2086
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X ME0054509 Florida

Profile Details

NPI number 1982776142
LBN Legal business name Korlipara, Anjanaya Prasad Rao
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 14th, 2006
Last updated Oct 26th, 2012 - about 14 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 1982776142 NPPES
Florida MEDICAID 040773900

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