Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208100000X | Physical Medicine & Rehabilitation Doctor | 37912 | IA |
Y | 2081P2900X | Pain Medicine | N9463 | TX |
NPI | 1366606311 |
---|---|
Provider Name | Prasad Lakshminarasimhiah |
First Address | Tampa, FL 33614-7163 |
Second Address | Frisco, TX 75034-4062 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/07/2008 |
Last Update Date | 14/04/2016 |