Organization
ISHWARI PRASAD MD PH D PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ISHWARI PRASAD MD (OWNER)
(813) 978-1769
Entity
Organization
Contact information
Practice address
14447 UNIVERSITY COVE PLACE, TAMPA, FL 33613
(813) 978-1769
Mailing address
14447 UNIVERSITY COVE PLACE, TAMPA, FL 33613
(813) 978-1769
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
ME0058761
FL
Other
Enumeration date
08/15/2008
Last updated
11/13/2008
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