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Organization

PRASAD KORLIPARA. M.D.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ANJANAYA PRASAD RAO KORLIPARA M.D. (OWNER)
(772) 489-5900
Entity
Organization

Contact information

Practice address
1331 N LAWNWOOD CIR, FORT PIERCE, FL 34950-4825
(772) 489-5900
(772) 489-2086
Mailing address
1331 N LAWNWOOD CIR, FORT PIERCE, FL 34950-4825
(772) 489-5900
(772) 489-2086

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
ME54509
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
040773900
FL
Enumeration date
02/12/2015
Last updated
02/12/2015
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