Dr. Naga Lakshmana Prasad Nidadavolu, M.D
Psychiatry & Neurology, Neuromuscular Medicine in Saint Cloud, FL. Individual provider (NPI-1).
NPI number1386835601
StatusActive
Last updated in NPPESJan 9, 2025
Details
- NPI
- 1386835601
- Entity type
- Individual (NPI-1)
- Name
- Dr. Naga Lakshmana Prasad Nidadavolu
- Credential
- M.D
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Aug 5, 2007
- Certification date
- Jan 9, 2025
- Last updated
- Jan 9, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084N0008X | Psychiatry & Neurology, Neuromuscular Medicine | ME109423 | FL | Yes |
Other names
- Nagalakshmana Prasad Nidadavolu (Other Name)
Practice location
4745 Old Canoe Creek RdSaint Cloud, FL 34769-1400
Phone 407-818-1664 · Fax 407-818-1654
Mailing address
4745 Old Canoe Creek RdSaint Cloud, FL 34769-1400
Phone 407-818-1664 · Fax 407-818-1654
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