Individual
PRAKASH VALIVETI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3001 W DR MARTIN LUTHER KING JR BLVD, TAMPA, FL 33607-6307
(813) 348-6915
(813) 348-6999
Mailing address
4516 N ARMENIA AVE, TAMPA, FL 33603-2732
(813) 348-6915
(813) 348-6999
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
13436
NV
2085R0202X
Diagnostic Radiology Physician
2008-01871
NC
2085R0202X
Diagnostic Radiology Physician
Primary
ME131614
FL
390200000X
Student in an Organized Health Care Education/Training Program
0116017014
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200472840A
—
OK
05
—
NPI 1932316098
—
NV
01
—
P01168796
RR MEDICARE
NV
Enumeration date
05/17/2007
Last updated
07/21/2022
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