Individual
NIRMALA SIVAPRAKASAPILLAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1501 S PINELLAS AVE STE G, TARPON SPRINGS, FL 34689-1950
(727) 943-3405
(727) 937-2269
Mailing address
1301 2ND AVE SW, LARGO, FL 33770-3120
(727) 584-7706
(727) 581-2786
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
21302
MS
207RG0100X
Gastroenterology Physician
Primary
ME104261
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
015064700
—
FL
01
—
0460101
CIGNA
FL
01
—
1500M
BCBS
FL
01
—
P01491267
RAILROAD MEDICARE
FL
Enumeration date
04/30/2008
Last updated
07/11/2024
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