Simhadri, Prathap Kumar

Simhadri, Prathap Kumar is an individual health care provider with primary practice located at 305 Memorial Medical Pkwy Ste 507, Daytona Beach FL 32117-5168. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Simhadri, Prathap Kumar can be contacted via phone (386) 672-8595.

Contact Information

Primary practice address
305 Memorial Medical Pkwy Ste 507 Daytona Beach FL 32117-5168
Phone: (386) 672-8595
Fax: (386) 677-4987
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X ME121973 Florida

Profile Details

NPI number 1548410574
LBN Legal business name Simhadri, Prathap Kumar
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 26th, 2008
Last updated Jul 15th, 2015 - about 11 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 1548410574 NPPES
Florida MEDICAID 014218100

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