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Dr. Manus Praserthdam, MD
Specialist in St Petersburg, Florida
NPI 1891787917

Manus Praserthdam is a Specialist based in St Petersburg, FL. Manus Praserthdam practices in St Petersburg, FL and has the professional credentials of MD. The NPI Number for Manus Praserthdam is 1891787917 and holds a License No. ME33665 (Florida).

The current practice location address for Manus Praserthdam is 1201 5Th Ave N, St Petersburg, FL and can be reached out via phone at 727-894-1122 and via fax at 727-894-0033.

Location: 1201 5Th Ave N, St Petersburg, FL, 33705-1400
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1891787917
Provider Name
Manus Praserthdam
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1201 5Th Ave N, St Petersburg, FL, 33705-1400
Phone Number
727-894-1122
Fax Number
727-894-0033
Provider Enumeration Date
08/16/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3106012 01 FL UNITED HEALTHCARE
0184828 01 FL CIGNA
0666950 01 FL AETNA
212769 01 FL AMERIGROUP
institution
Provider Business Practice Location Address Details
Address
1201 5Th Ave N
City
St Petersburg
State
Florida
Zip
33705-1400
Phone Number
727-894-1122
Fax Number
727-894-0033
person
Provider Business Mailing Address Details
Address
1201 5Th Ave N
City
St Petersburg
State
Florida
Zip
33705-1400
Phone Number
727-894-1122
Fax Number
727-894-0033
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
ME33665 (Florida)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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