Individual
DR. NAGA LAKSHMANA PRASAD NIDADAVOLU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Taxonomy
Speciality
Code
Description
License number
State
2084N0008X
Neuromuscular Medicine (Psychiatry & Neurology) Physician
Primary
ME109423
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003957500
—
FL
01
—
ME109423
FLORIDA MEDICAL BOARD
FL
Enumeration date
08/05/2007
Last updated
01/09/2025
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