Individual
BRAHMESH SIVAPRAKASAPILLAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1301 2ND AVE SW, LARGO, FL 33770-3120
(727) 584-7706
(727) 585-0380
Mailing address
1301 2ND AVE SW, LARGO, FL 33770-3120
(727) 584-7706
(727) 585-0380
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
21301
MS
207RC0000X
Cardiovascular Disease Physician
Primary
ME104199
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
015065300
—
FL
05
—
08736533
—
MS
01
—
1500L
BCBS
FL
01
—
P00272988
RR MEDICARE
—
Enumeration date
09/16/2006
Last updated
06/03/2024
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