Prasad, Venkat L
Prasad, Venkat L is an individual health care provider with primary practice located at 9800 S Healthpark Dr Ste 350 , Fort Myers FL 33908-3630. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Prasad, Venkat L can be contacted via phone (239) 343-6008.Contact Information
Primary practice address
9800 S Healthpark Dr Ste 350
Fort Myers FL 33908-3630
Phone: (239) 343-6008
Fax: (239) 343-6254
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 009801451 | North Carolina |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ME133342 | Florida |
Profile Details
| NPI number | 1700847969 |
|---|---|
| LBN Legal business name | Prasad, Venkat L |
| Credentials | M.D.MBA/MHA |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 29th, 2006 |
| Last updated | May 3rd, 2023 - about 3 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 | 1700847969 | NPPES |
| North Carolina | MEDICAID | 891171T | |
| North Carolina | MEDICAID | 021626800 |
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