Individual
HULLUKUNTE BYLAPPA SHIVAPRASAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2001 SCIOTO TRAIL, STE 200, PORTSMOUTH, OH 45662
(740) 353-8100
(740) 353-8908
Mailing address
2001 SCIOTO TRAIL, STE 200, PORTSMOUTH, OH 45662
(740) 353-8100
(740) 353-8908
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
35044638S
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0464788
—
OH
05
—
64114994
—
KY
Enumeration date
09/16/2006
Last updated
05/18/2011
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