Individual
NISHA PRADEEP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2919 W SWANN AVE STE 401, TAMPA, FL 33609-4083
(813) 872-1548
(813) 872-7509
Mailing address
9960 NW 116TH WAY STE 13, MEDLEY, FL 33178-1175
(786) 924-1311
(786) 924-1313
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
110518
GA
2084N0400X
Neurology Physician
Primary
OS16133
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/29/2015
Last updated
02/12/2026
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