Individual
PRATHAP KUMAR SIMHADRI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
305 MEMORIAL MEDICAL PKWY, STE 507, DAYTONA BEACH, FL 32117-5168
(386) 672-8595
(386) 677-4987
Mailing address
301 MEMORIAL MEDICAL PKWY, DAYTONA BEACH, FL 32117-5167
(386) 231-1091
(386) 231-1092
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
ME121973
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
014218100
—
FL
Enumeration date
09/26/2008
Last updated
07/15/2015
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