Individual
DR. PRAKASH GOUTHAM BELEYUR SURYANARAYANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2080 OAKLEY SEAVER DR STE 130, CLERMONT, FL 34711-1962
(321) 841-6444
(407) 650-1307
Mailing address
2080 OAKLEY SEAVER DR STE 130, CLERMONT, FL 34711-1962
(321) 841-6444
(407) 650-1307
Taxonomy
Speciality
Code
Description
License number
State
207RC0001X
Clinical Cardiac Electrophysiology Physician
D88499
MD
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
ME153140
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
113482600
—
FL
Enumeration date
10/01/2007
Last updated
03/22/2024
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