Individual
DR. KANITHAHALLI L SATYA-PRAKASH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
106 SW 10TH ST, GAINESVILLE, FL 32601-6200
(352) 264-9752
Mailing address
106 SW 10TH STREET, HEMACON LABORATORIES, LLC, GAINESVILLE, FL 32601-6200
(352) 264-9752
Taxonomy
Speciality
Code
Description
License number
State
246ZG1000X
Medical Geneticist (PhD) Specialist/Technologist
Primary
SU 39577
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SU 39577
FLORIDA STATE LICENSE
FL
Enumeration date
01/11/2013
Last updated
01/11/2013
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